Summary
Overview
Work History
Education
Skills
Certification
References
Affiliations
Projects
Training
Custom
Timeline
Generic
Wesly Kibui Ngeywo

Wesly Kibui Ngeywo

Kitale

Summary

Service-focused Relationship Executive, focusing on building and managing productive business relationships. Exceptionally skilled in problem-solving and issue resolution to maintain loyal, long-term customers.

Overview

6
6
years of professional experience
1
1
Certification

Work History

RELATIONSHIP EXECUTIVE

AAR INSURANCE KENYA
Nairobi
01.2024 - Current
  • Maintained strong, long-term relationships with the company and individual clients, ensuring a high level of customer satisfaction and retention.
  • Assisted clients in understanding their insurance benefits and coverage options, policy renewals, endorsements, and provided ongoing policy servicing support.
  • Educated clients on the claims process and documentation requirements.
  • Analyze the client's claims reports and loss ratio to identify trends and risk exposure, including coordinating with the pricing department in recommending appropriate loading percentages based on the risk.
  • Cultivated strong client relationships through regular communication and engagement.
  • Managed client inquiries and resolved issues promptly to enhance service experience.
  • Developed tailored solutions by assessing client needs and preferences effectively.
  • Collaborated with cross-functional teams to streamline service delivery processes.
  • Ensured smooth onboarding of add-ons
  • Developed and maintained relationships with existing clients to ensure customer loyalty.
  • Managed customer accounts by providing timely responses to inquiries and resolving issues promptly.

MEDICAL CLAIMS ASSESSOR

AAR INSURANCE KENYA
Nairobi
07.2023 - 01.2024
  • Evaluating medical claims from the technical and medical perspectives, as per policy terms and conditions.
  • Ensuring that the treatment delivered is relevant and appropriate by monitoring ongoing treatment plans for members.
  • Referring for a second opinion for cases where there is doubt in treatment plan.
  • Providing clients an understanding of any declined medical claims.
  • Maintaining daily productivity targets and service levels.
  • Accurate processing and assessment of all paper and EDI claims.
  • Quality control claims are assessed by other assessors as required.
  • Obtain medical evidence from providers to substantiate claims decision/treatment.
  • Dealing with provider queries in relation to clinical treatment or pre-authorisation requests.
  • Ensuring all documents are correctly allocated on Case Management System.
  • Adhering to all internal processes and procedures at all times.
  • Providing feedback, and assisting in the development of standard operating procedures and protocols.
  • Assisting the Medical Case Managers with high cost claims where required.
  • Escalating any complaints in a timely manner to the direct line manager.
  • Roles

NURSING OFFICER

MERIDIAN EQUATOR HOSPITAL
Nairobi
10.2020 - 07.2023
  • Organize the ward neatly, to include ensuring dump dusting is done, beds are made and bedridden patients are bathed and left comfortable.
  • Maintain accurate inventory for ward equipments and instruments.
  • Monitor, record and report symptoms and changes in patients.
  • Ensuring all procedures and investigations requested by Doctors are done in a timely manner and results communicated to the relevant Doctors.
  • Ensure drugs are given following the five Rs of drug administration and reactions recorded and reported immediately for timely intervention.
  • Escalation of complicated cases to immediate supervisors.
  • Updating Doctors and Next of Kin daily about the progress of patients.
  • Triaging of patients, emergency cases identification and management.
  • Implementation of nursing care plan and interventions.
  • Documentation of all relevant documents as per MOH standards.
  • Motivating patients to help restore and improve their health and self esteem.
  • Providing psychological and physical support to parents, family members and friends.
  • Identifying patient care requirements.
  • Assuring the quality of care to patients through adhering to therapeutic standards.
  • Ensuring that patients and fellow employees adhere to infection control policies and protocols, medicine storage and administration procedures and substance control regulations.
  • Evaluating patients who complain of specific aliments.
  • Examining and authenticating vaccination records.
  • Roles

NURSING OFFICER

ATHI RIVER SHALOM COMMUNITY HOSPITAL
Nairobi
02.2020 - 10.2022
  • Monitor patient’s condition and assess their needs to provide the best possible care and advice.
  • Observe and interpret patient’s symptoms and communicate them to physicians.
  • Collaborate with physicians and nurses to devise individualized care plans for patients.
  • Perform routine procedures (blood pressure measurements, administering injections etc. and fill in patients’ charts.
  • Adjust and administer patient’s medication and provide treatments according to physician’s orders.
  • Inspect the facilities and act to maintain excellent hygiene and safety (decontaminating equipment, sanitizing surfaces, preparing beds etc.)
  • Provide instant medical care in emergencies.
  • Assist surgeons during operations Supervise and train student nurses and nursing assistants.
  • Foster a supportive and compassionate environment to care for patients and their families.
  • Expand knowledge and capabilities by attending educational workshops, conferences etc.
  • Roles

SALES AGENT

PLATINUM CREDIT LIMITED
KITALE
10.2019 - 12.2019
  • Evaluate credit worthiness of customers Process loan applications and documentation.
  • Answer clients' questions and provide information.
  • Justify decisions (approvals/rejections) and report on them.
  • Complete loan contracts and counsel clients on policies and restrictions.
  • Maintain an active knowledge base of all of the organization’s loan products and an understanding of the qualifications required of each applicant.
  • Documents all customer conversations in loan origination software and timely follow up.
  • Assess customer needs, explore all options and introduce different types of loans.
  • Develop referral networks, suggest alternate channels and cross-sell products and services to accomplish quotas.
  • Build long term, trusting relationships with customers.
  • Ensure customer satisfaction at highest possible level.
  • Operate in compliance with laws and regulations and adhere to lending compliance guidelines.
  • Maintain a positive working relationship with internal departments and external contacts.
  • Roles

Education

Basic Life Support (BLS) -

Emergency Care Trainers Limited
05.2022

Kenya Enrolled Community Health Nurse -

Kenya Medical Training College, Lodwar Campus
01.2019

Kenya Certificate of Secondary Education -

St. John's Sikinwa Secondary School
01.2015

Kenya Certificate of Primary Education -

Mukhuyu Primary School, Webuye
01.2010

Skills

  • Client relationship management
  • Claims analysis
  • Policy servicing
  • Risk assessment
  • Customer engagement
  • Effective communication
  • Attention to detail
  • Time management
  • Adaptability to change
  • Team coordination
  • Claim evaluation

Certification

The Nursing Council of Kenya

References

  • Angela Wanga , Business Retention Manager , +254720430428
  • Pollyn, Mbabu, H. O. D Nursing, +254728109374, Meridian Equator Hospital
  • Jane, Atieno, Human Resources Manager, +254720427380, Athi River Shalom Community Hospital

Affiliations

  • Playing a role in promoting sustainable practices and aligning organizational strategies with environmental, social and governance principles

Projects

MENINGITIS IMMUNIZATION, Took part in Community meningitis immunization in Katilu, Turkana County

Training

BASIC LIFE SUPPORT (BLS)

Custom

  • Done the following courses ;
  • 1. EMERGENCY CARE TRAINERS LIMITED - BLS Certificate
  • 2. SKILLSOFT PERCIPIO - Reimagining the Customer Experience with Generative AI - Building Customer Relationship in a Virtual Environment - Strengthening Customer service skills.

Timeline

RELATIONSHIP EXECUTIVE

AAR INSURANCE KENYA
01.2024 - Current

MEDICAL CLAIMS ASSESSOR

AAR INSURANCE KENYA
07.2023 - 01.2024

NURSING OFFICER

MERIDIAN EQUATOR HOSPITAL
10.2020 - 07.2023

NURSING OFFICER

ATHI RIVER SHALOM COMMUNITY HOSPITAL
02.2020 - 10.2022

SALES AGENT

PLATINUM CREDIT LIMITED
10.2019 - 12.2019

Basic Life Support (BLS) -

Emergency Care Trainers Limited

Kenya Enrolled Community Health Nurse -

Kenya Medical Training College, Lodwar Campus

Kenya Certificate of Secondary Education -

St. John's Sikinwa Secondary School

Kenya Certificate of Primary Education -

Mukhuyu Primary School, Webuye

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Wesly Kibui Ngeywo