VIDYA MORAA
Nairobi,30
Summary
Results-driven professional with extensive experience in the insurance sector, specializing in medical underwriting, claims management, and client relationship management across East Africa, including Kenya, Tanzania, and Uganda. Demonstrated ability to retain clients and provide excellent customer service. Positive attitude and strong willingness to take on additional responsibilities to achieve team goals. Highly detail-oriented and a team player with exceptional organizational skills, capable of handling multiple tasks simultaneously while maintaining a high level of accuracy and data confidentiality.
Overview
5
5
years of professional experience
1
1
Certification
Work History
Medical Underwriter& Claims Analyst
Complete Solutions Insurance Brokers
01.2022 - Current
- Prepare and maintain policy documents, including endorsements, exclusions, and policy forms
- Spearhead the development, implementation, evaluation and update of insurance policies and procedures
- Monitor policy renewals, endorsements, and cancellations, ensuring proper documentation and communication with policyholders
- Continually review and update policy membership database
- Conduct research and analysis on insurance industry trends, regulatory requirements, and emerging risks
- Collaborate with underwriting, claims, and legal teams to gather input, review policies, and ensure alignment with organizational goals and compliance standards
- Review policy language to ensure accuracy, clarity, and compliance with regulatory guidelines
- Support the underwriting process by evaluating policy applications and computing quotes
- Assist in conducting internal audits to ensure adherence to insurance policies and procedures
- Stay updated on relevant insurance market developments, regulatory changes, and industry best practices
- Training and mentor junior team members on insurance policy-related matters
- Reduced claim denials by diligently verifying applicant information against established criteria.
- Contributed to the development of underwriting guidelines by analyzing data from claims experience and industry research.
- Provided exceptional customer service through prompt responses to inquiries from applicants, policyholders both individual and corporate clients.
- Assisted in updating company policies to reflect evolving medical advancements, helping to maintain competitive edge in the market.
- Maintained compliance with regulatory requirements by staying up-to-date on industry changes and adjusting underwriting guidelines accordingly.
- Ensured timely claim processing by effectively prioritizing caseloads based on complexity and urgency levels.
- Serve as the liaison for underwriters and customers to track, manage, and prioritize insurance applications and other services.
- Compile data and analytics for reports that can advise insurance policy guidelines and whether coverage should be provided.
Customer Service Advisor
Complete Solutions Insurance Brokers
11.2020 - 12.2021
- Resolve client inquiries promptly and accurately through effective problem-solving and email management
- Handle inbound and outbound calls professionally and courteously, ensuring exceptional customer service
- Maintain precise documentation and proficiently process client data in appropriate systems/spreadsheets
- Expand and enhance the existing client database to drive business growth
- Conduct comprehensive member awareness sessions on new products and services, adhering to established procedures and policies
- Ensure compliance with data protection regulations and maintain data confidentiality
- Provide thorough member training on the Virtual Smart system for all clients
- Troubleshoot client issues, deliver timely responses, and utilize relevant software to facilitate resolution
- Generate detailed monthly client reports to track performance and identify areas for improvement
Insurance Policy Intern
Complete Solutions Insurance Brokers
06.2020 - 11.2020
- Supported the development of insurance policy documents, including drafting policy forms, endorsements, and underwriting guidelines
- Assisted in conducting research on insurance market trends, competitor analysis, and regulatory updates
- Collaborated with team members on special projects, such as policy enhancement initiatives and product development
- Conducted data analysis to evaluate policy performance and identify areas for improvement
- Assisted in organizing training sessions and workshops on insurance policy topics
Education
Bachelor of Business Information Technology -
Africa Nazarene University
01.2022
Kenya Certificate of Secondary of Secondary (KSCE) -
Mama Ngina High School
01.2015
Skills
- Customer service
- Excellent teamwork and collaboration
- Analytical skills
- Administrative support
- Problem-solving skills
- Account reconciliation
- Verbal communication
- Independent work
- Budget forecasting
- Attention to detail
- Task management
- Financial Analysis and reporting
- Insurance policy management software
- MS Office Suite
- Interpersonal skills
- Mediation
- Conflict resolution
- Timely customer service delivery
Certification
Certificate of Proficiency (Health), College of Insurance, 08/22
referees
Bridget Matundura
bridgetbogomba@gmail.com
0736745694
Manager – Medical Division
Bupa Health Insurance International Kenya
Wilkista Muchesia
wilkistamuchesia@gmail.com
0728933788
Underwriting Manager - Medical division
Complete Solutions insurance brokers
Titus Odero Ombata
titusombata@gmail.com
0703272737
Human Resource Manager
Haco Industries Limited
Timeline
Medical Underwriter& Claims Analyst
Complete Solutions Insurance Brokers
01.2022 - Current
Customer Service Advisor
Complete Solutions Insurance Brokers
11.2020 - 12.2021
Insurance Policy Intern
Complete Solutions Insurance Brokers
06.2020 - 11.2020
Bachelor of Business Information Technology -
Africa Nazarene University
Kenya Certificate of Secondary of Secondary (KSCE) -
Mama Ngina High School
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