Emmanuel Sasu
Accra
Summary
An organized and motivated individual with over 5 years' working experience who is also eager to apply time management and organizational skills in any environment and is also seeking opportunities to expand skills while facilitating company growth.
Overview
9
9
years of professional experience
Work History
Claims Supervisor
The Bank Hospital
09.2022 - Current
- Reviewed settlements, litigation and team best practices to maintain high standards of quality.
- Trained new team members on policies and procedures for claims handling.
- Motivated team members to maintain targeted turnaround time to obtain processing goals.
- Submitted clean claims to reduce denial rates, following payer reimbursement policies and procedures.
- Recommended and communicated goals to help team excel against targets.
Claims Officer
Claron Health International
Accra
05.2021 - 08.2022
- Maintained knowledge of policies and procedures and insurance coverage benefit levels, eligibility systems and verification processes.
- Oversaw regulatory and strategic initiatives to ensure accuracy of medical claims.
- Monitored reports to identify claims issues and worked with adjusters to resolve problems.
National Service
National Health Insurance Authority- Claims Department
Accra
06.2020 - 05.2021
- Vetting and adjudication of claims.
Claims Officer
Kaiser Global Health Limited
Abelemkpe
06.2018 - 12.2019
- Researched and reviewed information to determine validity of insurance claims and contacted companies and customers about decisions.
- Maintained knowledge of policies and procedures and insurance coverage benefit levels, eligibility systems and verification processes.
- Researched coverage and premium options and supplied clients with best coverage available for individual needs.
- Provided quality customer service to assigned, insured and claimants throughout claims process to deliver timely service to customers.
Claims Officer
Mab International Hospital
Accra
10.2014 - 05.2018
- Investigated and analyzed requirements to improve timeliness of reports to customers.
- Prepare and submit monthly, quarterly and yearly claims activities and reports to management.
- Prepare and promptly submit all health insurance claims on a monthly basis for NHIS and all Private health Insurance schemes.
Education
Master of Arts - Management & Administration
University of Ghana Business School
01-2024
Bachelor of Science - Information Technology
Bluecrest University College
Kokomlemle, Accra06.2020
Skills
- Coverage Assessments
- Verbal and Written Communication
- Customer Service
- Teamwork and Collaboration
- Problem-Solving
- Data Entry Software
REFRENCES
Nana Afia Kobi Prempeh | Chief Executive |Otumfuor Osei Tutu II Foundation| nakprempeh@gmail.com | +233 441 613 72|
Mrs. Felicia Asantewaa Addo |General Manager | Claron Health International|felicia.asantewaa@claronhealth.com|0549991894/
Timeline
Claims Supervisor
The Bank Hospital
09.2022 - Current
Claims Officer
Claron Health International
05.2021 - 08.2022
National Service
National Health Insurance Authority- Claims Department
06.2020 - 05.2021
Claims Officer
Kaiser Global Health Limited
06.2018 - 12.2019
Claims Officer
Mab International Hospital
10.2014 - 05.2018
Master of Arts - Management & Administration
University of Ghana Business School
Bachelor of Science - Information Technology
Bluecrest University College
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