Summary
Overview
Work History
Education
Skills
Certification
Languages
References
Timeline
Generic

Saleh Muinde

Wote

Summary

Results-driven professional with experience at the National Hospital Insurance Fund, adept in data analysis and impact measurement. Proven ability to identify financial anomalies and streamline claims processes. Skilled in advanced Excel and statistical modeling, with a strong focus on achieving KPIs and enhancing operational efficiency through collaboration and analytical insights.

Overview

6
6
years of professional experience
1
1
Certification

Work History

Assistant Claims Officer

National Hospital Insurance Fund (NHIF)
Wote
01.2020 - 09.2024
  • Collected, validated, and analyzed large volumes of health insurance claims to identify trends, financial anomalies, and potential fraud.
  • Conducted payment calculations and statistical assessments to ensure data accuracy and compliance with internal policies.
  • Generated monthly analytical reports, tracking KPIs related to claims efficiency and branch performance.
  • Collaborated cross-functionally with hospitals and the central claims unit to streamline data processing and resolve inconsistencies.
  • Used structured spreadsheets and analysis tools to monitor and report on financial projections and utilization patterns.

Actuarial Intern

ICEA LION Group
Nairobi
06.2018 - 06.2019
  • Conducted data-driven risk assessments for life and general insurance products using statistical models.
  • Developed actuarial models in Excel to enhance claims forecasting, premium pricing, and reserve evaluation.
  • Contributed to regulatory and solvency reports, ensuring compliance and accurate impact measurement.
  • Collaborated with actuaries to create data visualizations and analytical presentations for internal use.

Education

Bachelor of Science - Actuarial Science with IT

Bondo, Kenya
Bondo, Kenya
12.2018

High School Diploma -

Nduluku Secondary School
Makueni, Kenya
12-2012

Skills

  • Dashboard reporting and KPI tracking
  • Health claims data management
  • Statistical modeling and forecasting
  • Dashboard reporting and KPI tracking
  • Health claims data management
  • Statistical modeling and forecasting

Certification

  • Certified Public Accountant (CPA)-Intermediate Level

Languages

Kamba
First Language
English
Proficient (C2)
C2
Swahili
Proficient (C2)
C2

References

References available upon request.

Timeline

Assistant Claims Officer

National Hospital Insurance Fund (NHIF)
01.2020 - 09.2024

Actuarial Intern

ICEA LION Group
06.2018 - 06.2019

Bachelor of Science - Actuarial Science with IT

Bondo, Kenya

High School Diploma -

Nduluku Secondary School

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Saleh Muinde