glory njeru
@glorynjeru
Results-driven client services executive with expertise in insurance verification.
What I'm looking for
I am a results-driven professional with extensive experience in insurance verification, claims management, and customer service within dynamic healthcare and call center environments. I am proficient in evaluating patient insurance eligibility, confirming benefits, and processing claims through advanced insurance portals with precision. My background includes a Bachelor's Degree in Business Administration from Dedan Kimathi University, where I developed a strong foundation in business principles.
Throughout my career, I have demonstrated a proven track record of delivering exceptional service to high-end clients in call center settings. I excel in utilizing medical terminology, coding, and conducting detailed claims investigations to streamline workflows and enhance service quality. My commitment to exceeding client expectations is complemented by my strong interpersonal skills and advanced problem-solving abilities, making me a collaborative team player passionate about driving operational efficiency and ensuring superior client satisfaction.
Experience
Work history, roles, and key accomplishments
Eligibility and Benefits Verifier
ADEC Innovations
Aug 2024 - Present (1 year 1 month)
Verified patient insurance details, including coverage, policy numbers, and pre-authorization requirements. Communicated with insurance companies to confirm benefits and update patient records accurately.
Claims Management Officer
Neema Universal Hospital
Dec 2023 - Jun 2024 (6 months)
Reviewed and validated corporate insurance claims, ensuring compliance with guidelines. Gathered necessary documentation and assisted with claims investigations for rejections.
Customer Service and Billing Officer
Focus Clinical and Diagnostic Center
Jun 2022 - Nov 2023 (1 year 5 months)
Interacted with multiple clients and insurance companies through various channels, ensuring seamless communication flow. Processed corporate invoices using hospital systems and software, and billed insurance through various portals.
Education
Degrees, certifications, and relevant coursework
Dedan Kimathi University
Bachelor ’s Degree in Business Administration, Business Administration
2017 - 2021
Completed a 4-year study in Business Administration at Dedan Kimathi University, Kenya. The curriculum covered core business principles and practices. This program prepared me for various roles in the business sector.
Tech stack
Software and tools used professionally
Availability
Location
Authorized to work in
Job categories
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