Summary
Overview
Work History
Education
Skills
Accomplishments
Research
Conferences/Seminars attended
Hobbies and Interests
Languages
References
Timeline
Generic

ELLIOT NESTOR AKOTOTSE

Hohoe,

Summary

Seasoned Administrative Officer with a background in leadership and strategic planning. Have led cross-functional teams to implement operational improvements and achieve organizational goals. Over ten(10) years track record of driving efficiency while maintaining high standards for performance and compliance in the National Health Insurance Authority of Ghana.

Strengths include critical thinking, team building, project management, and communication skills.

Overview

27
27
years of professional experience

Work History

Deputy Director

Claims Processing Center
Tamale
12.2017 - 09.2022
  • Supervise a team of claims managers and provide guidance and support as needed
  • Review and evaluate claims to ensure accuracy and compliance with policies and regulations
  • Develop and implement policies and procedures to improve efficiency and quality of claims processing
  • Communicate with key stakeholders and other departments to manage claims effectively
  • Analyze claims data and prepare reports on claim trends and performance
  • Identify and resolve challenges and issues related to claims processing

Deputy Director

Claims Processing Center
Accra
05.2017 - 12.2017
  • Identify and resolve challenges and issues related to claims processing
  • Reviewing data for bill presentation and supervising the preparation process for accuracy and quality assurance
  • Review and evaluate claims to ensure accuracy and compliance with policies and regulations
  • Develop and implement policies and procedures to improve efficiency and quality of claims processing
  • Communicate with key stakeholders and other departments to manage claims effectively
  • Analyze claims data and prepare reports on claim trends and performance

Regional Director

National Health Insurance Authority
Volta
06.2014 - 05.2017
  • Setting goals and expectations for the claims processing teams in the various districts in the region
  • Managing day-to-day operations of the regional office
  • Maintaining secure records of medical claims and other relevant documentation in the region
  • Preparing reports regarding performance in the region for executive review
  • Consistently monitoring billing activities, claims processing agent performance and other relevant key performance indicators across the Volta region

Regional Manager

National Health Insurance Authority
Volta
08.2009 - 06.2014
  • Consistently monitoring billing activities, claims processing agent performance and other relevant key performance indicators across the Volta region
  • Managing day-to-day operations of the regional office
  • Maintaining secure records of medical claims and other relevant documentation in the region
  • Preparing reports regarding performance in the region for executive review
  • Consistently monitoring billing activities, claims processing agent performance and other relevant key performance indicators across the Volta region

Head of Mathematics Department

St. Francis College of Education
Hohoe
01.2005 - 01.2009

Team Leader for Diploma in Basic Education Examinations

Institute of Education, UCC
01.2003 - 01.2009

Head of Mathematics Department and Assistant House Master

E.P College of Education
Amedzofe
01.1996 - 01.1998

Education

Masters - Business Administration

Kwame Nkrumah Univ. of Science & Technology(KNUST)
Kumasi, Ghana
01.2014

Bachelor of Mathematics - Mathematics Education

University of Education (UEW)
Winneba, Ghana
01.1999

Diploma in Mathematics - Mathematics Education

University of Education (UEW)
Winneba, Ghana
01.1996

Teacher’s Certificate ‘A’ - Education

Jasikan College of Education
Jasikan, Ghana
01.1985

GCE ‘O’ - General Science

Bishop Herman College
Kpando, Ghana
01.1981

Skills

  • Good Administrator and general office management
  • Leadership: Possess good leadership skills and able to lead peers to achieve set goals
  • Team player: Able to collaborate with others to achieve organizational targets
  • Listening: Pays rapt attention to details in conversations
  • Conversational: Good and effective communication skills
  • Analytical: Excellent investigative abilities
  • Problem-solving skills
  • Organizational development
  • Strategic planning

Accomplishments

  • Campaign Lead & Member, Guan constituency in 2024 national election, securing 82.46% for Presidential and 76.39% for Parliamentary.
  • Led the Volta Regional National Health Insurance (NHIS) to achieve 91% of Annual target for 2014.
  • Campaign coordinator for Hohoe North constituency in 2012 national election.
  • Mobilized voters particularly the youth in the Volta region, through numerous campaign activities to ensure victory for the NDC in the 2012 national election.
  • Facilitated investigation into fraudulent Claims submitted and paid in the Ketu South District which led to the recovery of about Eight Hundred Thousand Ghana Cedis (GH 800,000.00) for the NHIA in 2010.
  • Joined the then incumbent MP to campaign for the party in the Hohoe North constituency to secure victory in the 2008 national election.
  • Contested the NDC primaries in 2008 and lost narrowly, emerging as the 1st runner up.
  • Stabilized the party and made it vibrant by securing an electric meter for the party office, until the NDC won the national election in 2008.
  • Hohoe North Constituency chairman of the NDC from 2004 to 2008.

Research

The determinants of Health Insurance membership renewal: A case study of five (5) Mutual Health Insurance Schemes in the Volta Region, 11/01/12, Institute of Distance Learning Education, KNUST, Kumasi

Conferences/Seminars attended

  • International forum on Universal Health Coverage (UHC) which NHIS (Korea) and HIRA (Korea) organized together with the Korean Foundation for international Health (KOFIH) at Seoul, Korea (June, 2015)
  • HIRA Training course on Social Health Insurance in Korea organized by the Health Insurance Review & Assessment Service of the Republic of Korea (7th –12th June, 2015)
  • Training course on Social Health Insurance in Korea organized by the National Health Insurance Service and the Ministry Health & Welfare of the Republic of Korea (26th May–5th June, 2015)
  • 2-Day Training programme on Internal control for Finance & Accounting professionals working in the public sector (April, 2015)
  • Executive Media Training Skills at MJ Grand Hotel, Accra (March, 2015)
  • Executive Leadership Skills training at the International Conference Center, Accra (February, 2015)
  • Executive Leadership Skills Training for Managers, Senior Officers and other related Professionals in Organizations (31st October, 2014)
  • Two-day International Seminar on Innovation Leadership and Human Resource Management in Ho (9th – 10th July,2011)
  • Training workshop on claims processing held at Sky Plus Hotel in Ho by National Health Insurance Authority (May, 2011)
  • Performance Review Workshop in Accra (27th March, 2011)
  • Human Resource Management Course in Accra (13th-16th July, 2010)
  • Strategic Seminar for Volta Regional staff and District Managers of NHIA at Woezor Hotel, Ho (November, 2009)
  • Training of mentors towards internship programs organized by Center for Teacher Development and Action Research, UEW (October, 2007)
  • Capacity building for tutors of Colleges of Education on Pedagogy and Management towards the introduction of Diploma in Education (September, 2004)

Hobbies and Interests

  • Assisting in fundraising activities during festivals and religious functions
  • Engaging in Community Development Projects
  • Reading and Listening to News
  • Watching football and other sports of interest

Languages

  • English
  • Ewe
  • Sekpele
  • Twi

References

  • Honourable Fred Kwesi Agbenyo, Member of Parliament, Guan Constituency. Tel.: (+233)244-072-876, (+233)208-847-765.
  • Mr. Raphael Segkpeb, Director, Innovation and Projects, National Health Insurance Authority, Accra. Tel.: (+233) 245-353-579, (+233)202-508-130
  • Mr. Simon Aklomasa Addae-Conutsey, Educationist, Former Headmaster, Dabala Senior High Technical School. Tel.: (+233)243-374-120, (+233)208-168-050

Timeline

Deputy Director

Claims Processing Center
12.2017 - 09.2022

Deputy Director

Claims Processing Center
05.2017 - 12.2017

Regional Director

National Health Insurance Authority
06.2014 - 05.2017

Regional Manager

National Health Insurance Authority
08.2009 - 06.2014

Head of Mathematics Department

St. Francis College of Education
01.2005 - 01.2009

Team Leader for Diploma in Basic Education Examinations

Institute of Education, UCC
01.2003 - 01.2009

Head of Mathematics Department and Assistant House Master

E.P College of Education
01.1996 - 01.1998

Masters - Business Administration

Kwame Nkrumah Univ. of Science & Technology(KNUST)

Bachelor of Mathematics - Mathematics Education

University of Education (UEW)

Diploma in Mathematics - Mathematics Education

University of Education (UEW)

Teacher’s Certificate ‘A’ - Education

Jasikan College of Education

GCE ‘O’ - General Science

Bishop Herman College
ELLIOT NESTOR AKOTOTSE