Alice Wambugo
Ruaka
Summary
Driven insurance professional with comprehensive background within insurance industry. Confidently communicates with customers providing advice and assistance in time-efficient manner. Possesses robust administration skills and expertise to work accurately and consistently.
Overview
15
15
years of professional experience
Work History
Clinical underwriter
Old Mutual General Insurance
Nairobi, Kenya
04.2021 - Current
- I Provide support to customers, assisting with policy terms, coverage options, renewals and claims handling.
- I review insurance contracts, checking for accuracy and completeness.
- Met with customers to determine their needs and requirements.
- I Analyse risk of loss related to catastrophe, possible loss or severity.
- I Determine level of acceptable risk by reviewing applications for coverage and loss control reports.
Claims Analyst
Old Mutual General Insurance
Nairobi, Kenya
02.2019 - 03.2021
- Vetting and validating all claims submitted within policy terms and benefits available for different schemes.
- Received correspondence from claimants, verified insurance coverage and arranged assistance to meet clients' needs, exceeding performance targets.
- Outlined steps for making and processing claims for policyholders and offered advice to help claimants get compensation.
- Followed internal claims processing procedures to prevent fraudulent payments, guaranteeing high-quality assurance standards.
- Retrieved claim records to verify policyholder information and coverage before processing claims
Call Center Officer
Old Mutual General Insurance
Nairobi, Kenya
12.2017 - 03.2019
- Handled and responded to routine e-mail enquiries and approvals for outpatient, optical and inpatient preauthorizations.
- Liaised with customers and answered queries and phone calls to address their concerns.
- Assist intermediaries on the needs they had on phone.
Quality Assurance Officer
Old Mutual General Insurance
Nairobi, Kenya
05.2017 - 11.2017
- Assisted NPS members access services at point of service in hospitals around Northeastern region.
- Compiled daily QA reports on targets, compliance and future risks.
- Issued and controlled relevant documentation to prevent fraud.
Health Care Assistant
Aga Khan University Hospital
Nairobi, Kenya
03.2013 - 12.2016
- Provided quality personal care, such as dressing and bathing, while maintaining respect and sensitivity.
- Established friendly rapport with patients to promote positive health and wellbeing.
- Obtained current medical information, weight, height and vital signs to aid care planning.
- Charted patient information related to vital signs, pain management and daily inputs and outputs.
- Promptly reported low stock levels of healthcare equipment and materials.
Nurse Aide
Nairobi Womens Hospital
Nairobi, Kenya
11.2011 - 12.2012
- Charted patient information related to vital signs, pain management and daily inputs and outputs.
- Measured blood pressure, pulse rate and oxygen level as part of physical assessments.
- Lifted and assisted patients to help with mobility problems.
- Turned and adjusted position of patients for patient comfort and to avoid bed sores.
- Bathed, changed and fed patients to ease discomfort and support basic caring needs.
Education
Bachelor of Science - Bachelors Degree in Health Sciences
University of the People
United States01-2029
Diploma of Higher Education - Diploma in Insurance
Chartered Institute of Insurance
London01-2028
Certificate - Guidance & Counselling
KIBCO
Nairobi01-2025
Certificate - Emergency Medical Technician
Avenue Rescue Center
Nairobi01-2016
Certificate - Community Health Assistant
Nairobi Women's Medical training College
NairobiSkills
- Analysing data
- Negotiation proficiency
- Building strong relationships
- Quoting and pricing policies
- Risk Management
- Quality Control
- Loss prevention
Timeline
Clinical underwriter
Old Mutual General Insurance
04.2021 - Current
Claims Analyst
Old Mutual General Insurance
02.2019 - 03.2021
Call Center Officer
Old Mutual General Insurance
12.2017 - 03.2019
Quality Assurance Officer
Old Mutual General Insurance
05.2017 - 11.2017
Health Care Assistant
Aga Khan University Hospital
03.2013 - 12.2016
Nurse Aide
Nairobi Womens Hospital
11.2011 - 12.2012
Diploma of Higher Education - Diploma in Insurance
Chartered Institute of Insurance
Bachelor of Science - Bachelors Degree in Health Sciences
University of the People
Certificate - Guidance & Counselling
KIBCO
Certificate - Emergency Medical Technician
Avenue Rescue Center
Certificate - Community Health Assistant
Nairobi Women's Medical training College