VIVIAN EKUWA AGGREY
OBUASI
Summary
Experienced with assessing and processing claims efficiently and accurately, ensuring compliance with regulations. Utilizes negotiation skills to achieve fair settlements and maintain client trust. Track record of leveraging analytical skills and attention to detail for successful claims management.
Overview
12
12
years of professional experience
1
1
Certification
Work History
Claims Officer
AGA Health Foundation
12.2015 - Current
- Served as a mentor for junior staff members, offering guidance in navigating difficult situations encountered in the role.
- Improved interdepartmental communication to expedite claims processing and foster a collaborative work environment.
- Reduced claims processing time by streamlining documentation and communication procedures.
- Maintained compliance with regulatory requirements by staying current on industry changes and updating policies accordingly.
- Reviewed contracts thoroughly to ensure proper coverage for various types of insurance policies held by clients.
- Developed training materials for new Claims Officers, fostering professional growth and improving team performance.
- Communicated effectively with staff members of operations, finance and clinical departments.
- Checked documentation for accuracy and validity on updated systems.
- Maintained strong knowledge of basic medical terminology to better understand services and procedures.
- Posted payments to accounts and maintained records.
Complaints Officer
AGA Health Foundation
01.2019 - 04.2024
- Analyzed complaint data to identify root causes, trends, issues and regulatory concerns.
- Conducted quality control reviews on complaint data and addressed results with colleagues to influence positive change.
- Worked with stakeholders to help create and revise customer complaint monitoring, manage training and enforce policies and procedures.
- Reduced recurring issues by proactively identifying trends in customer complaints and working with relevant teams to address them.
- Coordinated with legal counsel as necessary when dealing with escalated or particularly sensitive cases.
- Improved overall customer experience by actively listening to concerns and empathizing with complainants while seeking mutually beneficial solutions.
- Maintained accurate records of all complaints received, actions taken, and outcomes achieved for reporting purposes.
- Provided constructive feedback to internal teams based on customer complaints, contributing to continuous improvement initiatives.
- maintained a professional demeanor with colleagues and provided exceptional service in all customer interactions.
Records Clerk
AGA Health Foundation
11.2012 - 11.2015
- Maintained accuracy of records by verifying accuracy of data in records.
- Updated records with new information.
- Enhanced accuracy in data entry tasks by consistently adhering to quality control measures and promptly addressing errors.
- Followed established policies and procedures to maintain compliance with regulations.
- Provided training to new records clerks to improve knowledge and skills.
- Followed confidentially regulations to maintain privacy.
- Generated reports from database systems to track records.
- Destroyed records in line with retention schedules to protect confidential information and comply with regulations.
Education
MBA - Human Resources Management
Kwame Nkrumah Science And Technology
Kumasi, Ghana09-2023
Bachelor of Arts - Economics And Sociology
University of Cape Coast
Cape Coast, Ghana06-2012
Skills
- Patience and tolerance
- Computer proficiency
- Effective Team Collaboration
- Documentation skills
- Excellent communication
Languages
English
Advanced (C1)
Twi and Fante
Advanced (C1)
reading
i read around to gain more insight about new things
Additional Information
im very professional with my job
pay attention to details
a fast leaner
team player
refrees
Mr Micheal Banoba
Administrator
0244
Mr Ansah Nuamah
Finance Manager
020
Certification
- training - NHIS
- [Area of certification] Training - Ridge hospital training on complaints management
Timeline
Complaints Officer
AGA Health Foundation
01.2019 - 04.2024
Claims Officer
AGA Health Foundation
12.2015 - Current
Records Clerk
AGA Health Foundation
11.2012 - 11.2015
MBA - Human Resources Management
Kwame Nkrumah Science And Technology
Bachelor of Arts - Economics And Sociology
University of Cape Coast
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