Fridah Kaburu

At Zamara Risk & Insurance Brokers, I directed adjudication for high-value inpatient and outpatient claims, reducing processing turnaround time by 15% through streamlined care team coordination.

I managed the largest funded third-party administration account by implementing provider reconciliation protocols that ensured 100% accuracy in fund allocation. I also oversaw provider vetting and empanelment, increasing network coverage by 10%.

As a Risk Consultant & Claims Analyst at Zamara Risk & Insurance Brokers Limited, I verified eligibility and policy coverage, maintaining a 98% accuracy rate in initial claim decisions. My reviews of treatment records, medical bills, and incident reports informed liability assessments and settlements.

At Heritage Insurance Company, I designed and enforced claims policies that established a standardised resolution workflow and increased team productivity by 25%. I also audited TPA billing, reducing overpayments by 12%, and analysed claims data for actuarial reporting.