Training Years Experience

Adepoju Abidemi Adegoke

***/*** ********** *****

Winnipeg Manitoba R3T 2K1

Home:204-***-**** Mobile:204-***-**** E-mail: ********@*****.***

Skills Highlights

• Ability to multi-task and work under pressure.

• Two years experience working in call centre and processing of providers claims.

• Ability to work independently with minimum supervision.

• Demonstrated ability to provide good decision making and solve problems.

• Detail-oriented and committed professionalism with health care team.

• Computer skilled proficiency in all documentation, record, maintenance of official

• procedure to ensure accuracy and patient confidentiality.

• Valid First Aid and CPR Certificates.

Core Values

• Respect for and inclusion of cross-cultural differences and diversity of all individuals.

• Teamwork and cooperative effort within an honest, open framework

• Positive attitudes, creative and pro-active approaches to the accomplishment of goals.

• High ethical standards of professionalism guided by confidentiality and integrity

• Work with an organization that provides opportunities for personal as well as professional development.

Work Experience

Hygeia HMO Lagos, Nigeria.

Care-Call / Claims Examiner

Sept 2009-Feb 2012

CARE-CALL

• Answer and respond to call centre enquires whilst on duty, exercising sound professional judgment and deploying skills in line with the company standard operating to the satisfaction of all enrollees and enquirers.

• Carry out general administration of care call such as :- attending to all enquirers, survey of center and close liaison with relevant HMO units.

• Create awareness of centre existence among clients, enrollee and providers.

• Carry our regular survey of pattern of enquires and output of the centre.

• Prepare weekly reports of the center’s activities.

• Issuance of Pre- Authorization Numbers for provider use.

CLAIMS ROCESSING

• Processing of data capture (claims form) for both Corporate Providers and NHIS.

• Monthly report and printout processed claims.

• Reconciliations of claims complaints from client and providers.

• Accuracy of claims entered into the database-claims module.

• Liaise with provider services and account department on issues relating to corporate and NHIS claims, including prompt follow-up and documentation of action.

• Maintain and update the claims database.

Adepoju Abidemi Adegoke page Two

Education and Training

Forstech Computer Training Institute June 2008

• Diploma in Computer Operation and Desktop Publishing

TRAINING & SEMINAR.

• Standard Operating Procedure Training Oct-2009

• Agenda for Data Management and Underwriting Training Nov-2009

Volunteer Experiences

Golden Link Lodge

2012

• Participates in Monthly Morning Service with the residence.

The Redeemed Christian Church of God, International Christian Center

2012

• Choir Member.

5 Loaves 2 Fishes Foundation Nigeria.

2010

• Community participation in delivering free health care to the

less privilege in the society.

INTERESTS

Reading, Networking, Travelling, Working with people, Public speaking, singing.

REFERENCES AVAILABLE UPON REQUEST

Contact this candidate