Esther Kinyinye
Claims Analyst
Nairobi
Summary
A dynamic and resourceful person with over five years of quality work experience acquired in several challenging roles with leading organizations in Kenya. A results-oriented team player who is able to work under pressure and deliver outstanding results in a timely manner, very organized and attentive to details.
Overview
6
6
years of professional experience
8
8
years of post-secondary education
3
3
Certifications
Work History
Claims Analyst
Cigna International
Nairobi, Kenya
09.2020 - Current
- Analyze claims in respect of client medical costs.
- Deal with doctor fees and hospitalization invoices for employees in international companies and intergovernmental institutions.
- Analyze reimbursements according to the contract agreements and assess, code and calculate them using a computerized claims processing system.
- Pass communications to the communication team to solve or preempt any possible issues with the stakeholders.
- Take responsibility/ownership of complex cases, handle them accurately and with the personal attention that is required.
- Keep up to date knowledge with respect to the medical information necessary for handling claims and take part in trainings to ensure am up to date with policies, processes and other required information.
- Been attentive to inaccuracies in the files and communicate them to the team leader/departmental head.
Claims Assessor
Jubilee Health Insurance Limited
Nairobi, Kenya
08.2017 - 08.2020
- Search and confirm the membership validity in the system.
- Ensure the invoice details tally with the diagnosis provided on the claim form and the letter authorized by the team.
- Confirm the member's benefits from the system.
- Confirm the accuracy of the captured data.
- Approving the claims for final payments.
- Training the new colleagues on the use of the system.
Data Entry Clerk
The National Agency for the Campaign Against Drug Abuse
Nairobi, Kenya
05.2016 - 08.2016
- Enter data from the source documents into the computer using SPSS software.
- Obtain information from the work director on incomplete forms.
- Respond and submit the requests for information and the relevant files.
- Gained experience in planning, organizing and implementation of SPSS software.
Data Entry Clerk
County Government of Nairobi Regional offices
Nairobi, Kenya
01.2016 - 04.2016
- Prepare, compile and sort the documents for data entry.
- Check the source documents for accuracy during entry.
- Obtain further information and instructions for incomplete documents from the director.
- Enter the data from the source documents into the record books and into the computer using Excel software.
- Check completed work for accuracy.
- Respond to the requests for the information and access to the relevant files by the members.
Education
Bachelor of Science - Actuarial Science
The University of Nairobi
Nairobi, Kenya 05.2013 - 09.2017
High School Diploma -
Karima Girls' High School
Nyandarua, Kenya 02.2008 - 11.2011
Skills
Microsoft Excel
Certification
Data Analyst Nanodegree, UDACITY
Timeline
Claims Analyst
Cigna International
09.2020 - Current
Claims Assessor
Jubilee Health Insurance Limited
08.2017 - 08.2020
Data Entry Clerk
The National Agency for the Campaign Against Drug Abuse
05.2016 - 08.2016
Data Entry Clerk
County Government of Nairobi Regional offices
01.2016 - 04.2016
Bachelor of Science - Actuarial Science
The University of Nairobi
05.2013 - 09.2017
High School Diploma -
Karima Girls' High School
02.2008 - 11.2011
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