Courage Ivan Nubueke
Accra
Summary
Dynamic Claims Specialist recognized for exceptional financial modeling and negotiation skills at The Bank Hospital. Proven ability to streamline claims processes, enhancing customer satisfaction while training peers for improved team performance. Achievements include significant boosts in claims resolution efficiency and accuracy, reflecting a dedication to operational excellence. Career aspirations focus on leveraging expertise to drive innovative solutions.
Overview
8
8
years of professional experience
1
1
Certification
Work History
Claims Officer
The Bank Hospital - TBH
Cantoments-Accra
01.2024 - Current
- Retained strong medical terminology understanding in effort to better comprehend procedures.
- Called insurance companies to ascertain pertinent information regarding policies and payment benefits for patients.
- Maintained knowledge of policies and procedures and insurance coverage benefit levels, eligibility systems and verification processes.
- Reviewed and processed insurance claims to ensure accurate and timely resolution.
- Monitored reports to identify claims issues and worked with adjusters to resolve problems.
- Collaborated with fellow team members to manage large volume of claims.[30+companies,1000+ claims monthly for a 3 member team]
- Transcribed data from the adjudication report to worksheets, and entered data for reconciliation to adjust accounts.
- Identified and pursued subrogation opportunities to recover costs for rejected claims.
- Conducted training sessions for team members and other units on best practices.
- Coordinated with medical professionals to verify treatment plans and costs, i.e., prepare formal invoices for procedures to be done.
- Maintained detailed records of all claims activities with more than 30 insurance companies and corporate institutions.
- Communicated effectively with policyholders to explain claims processes and outcomes.
- Advised management on potential changes needed to improve claim process flows.
National Service - Finance Department,Billing/Claims Processor
The Bank Hospital
Accra
11.2023 - 12.2023
- Interacted well with customers to build connections and nurture relationships.
- Assisted with billing inquiries, and provided timely responses to enhance customer satisfaction.
- Developed and maintained billing procedures to make timely payments.
- Contacted clients with past-due accounts to formulate payment plans and discuss restructuring options.
- Generated and submitted invoices based on established accounts receivable schedules and terms.
- Reviewed and reconciled customer accounts to manage the accuracy of payments at the end of every month.
- Responded to customer concerns and questions on a daily basis.
- Monitored outstanding invoices and performed collections duties.
- Prepared and submitted monthly billing reports to management for a financial overview.
- Maintained knowledge of policies and procedures and insurance coverage benefit levels, eligibility systems and verification processes.
Finance Committee Member
University of Ghana-Commonwealth Hall
Accra
09.2021 - 09.2022
- Pre-audited all financial transactions of executive officers and committees of the Junior Common Room.
- I prepared the yearly budget of the hall and ensured its strict adherence.
- Prepared the financial statement of the hall on a semester basis.
- Provided financial analysis, advice, and oversight on the hall's budget.
- Conducted reviews and evaluations for cost-reduction opportunities.
- Communicated with JCR regularly on the state of affairs of the JCR's finances.
Personal Assistant
Births and Death Registry Sub Office
Gomoa Buduburam
03.2021 - 06.2022
- Assessed clients who applied for certificates to ensure accuracy with the information provided by proofreading and interviews.
- Assisted clients in filling out birth and death forms accurately.
- Evaluated and recommended upgrades to improve existing computerized healthcare systems.
- Data entry onto the online portal for the final stage of the certification.
- Community engagement with locals and educating them about biometric birth certification.
Entertainment Committee Member
University of Ghana-Commonwealth Hall
Accra
09.2021 - 09.2022
- Consulted with senior management regarding any changes or updates required for existing procedures or policies related to the committee's operations.
- Planned Hall Week, Minnimpinim, for the 2021/2022 academic year.
- Handling contracts and agreements with vendors and sponsors.
- Preparing and distributing event schedules and agendas.
- Creating social media sales pitches for events.
- Mobilizing and coordinating logistics for hall events.
Teacher
Ampah Preparatory School
Winneba
09.2016 - 02.2018
- Planned and implemented integrated lessons to meet national standards
- Communicated frequently with parents, students and faculty to provide feedback and discuss instructional strategies
- Evaluated and revised lesson plans and subject content to achieve student-centered learning
- Worked cooperatively with other teachers, administrators and parents to help students reach learning objectives
- Graded and evaluated student assignments, papers and course work
Education
BA - Economics and Finance
University Of Ghana
Legon09.2022
WASSCE - Business
Winneba Secondary School
Winneba05.2016
B.E.C.E -
Municipal Assembly Basic School
06.2013
Nursery & Primary -
Winneba International School
05-2006
Skills
- Advanced in Microsoft Excel
- PowerPoint
- Word
- Excellent financial modeling skills
- Excellent negotiation skills
- Excellent interpersonal and communication skills
- Great Team player
- HMS Software TriMed, Medinuous
- Claims Proccessing Software RX, Medserve
- Isurances Portals Cigna Envoy, Henner, Allianz Care, MSH, Starlife,Tricare
Profile Statement
Results-driven and detail-oriented professional with a strong background in economics and finance. Committed to achieving overall team success through hard work, productive relationships, and goal-oriented approach. Seeking to leverage my skills and experience to drive growth and success in a dynamic organization.
Affiliations
University Of Ghana Plastic Recycling Project, UGPRP
University Of Ghana Tree Planting Volunteer.
Certification
Financial Modeling & Valuation Analyst (FMVA), Corporate Finance Institute, Canada, 07/01/22
Basic LIfe Support (BLS) Certification, The Bank Hospital
Languages
Ewe
First Language
English
Proficient (C2)
C2
Fante
Proficient (C2)
C2
Twi
Advanced (C1)
C1
French
Elementary (A2)
A2
Spanish
Beginner
A1
References
References available upon request.
Work Preference
Work Type
Full TimePart TimeContract WorkInternshipGig WorkWork Location
RemoteOn-SiteImportant To Me
Career advancementPersonal development programsCompany CultureTeam Building / Company RetreatsWork-life balanceStock Options / Equity / Profit SharingWork Availability
monday
tuesday
wednesday
thursday
friday
saturday
sunday
morning
afternoon
evening
swipe to browse
Interests
Racing
Camping
Football
Swimming
Timeline
Claims Officer
The Bank Hospital - TBH
01.2024 - Current
National Service - Finance Department,Billing/Claims Processor
The Bank Hospital
11.2023 - 12.2023
Finance Committee Member
University of Ghana-Commonwealth Hall
09.2021 - 09.2022
Entertainment Committee Member
University of Ghana-Commonwealth Hall
09.2021 - 09.2022
Personal Assistant
Births and Death Registry Sub Office
03.2021 - 06.2022
Teacher
Ampah Preparatory School
09.2016 - 02.2018
BA - Economics and Finance
University Of Ghana
WASSCE - Business
Winneba Secondary School
B.E.C.E -
Municipal Assembly Basic School
Nursery & Primary -
Winneba International School
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