Mirriam Charles Dausi
Lusaka
Summary
Hardworking benefits and claims support officer with a results-oriented approach. Demonstrates excellent interpersonal and communication skills, effectively engaging with stakeholders at all levels. Committed to exceeding employer expectations and contributing to orgoalsanizational goals through diligence and a strong work ethic.
Overview
3
3
years of professional experience
Work History
Benefits and Claims Support Officer
NHIMA
Lusaka
04.2024 - Current
- Oversaw daily operations, enhancing workflow efficiency and ensuring adherence to policies.
- Performed claims reconciliations between internal workflow stations and health care providers.
- Addressed audit and claim queries from health care providers promptly.
- Admitted qualifying claims into the claims register immediately upon receipt.
- Cultivated relationships with health care providers, facilitating understanding of NHIMA benefits tariffs.
- Communicated daily with health care providers regarding claims submission omissions.
- Scanned, batched, and indexed claims prior to adjudication.
- Compiled daily and weekly claims status reports to inform stakeholders of claims progress.
Pharmacy Assistant
Sunga Moyo Pharmacy
11.2023 - 02.2023
- Managed and processed prescriptions, streamlining operations.
- Accurately addressed patient symptoms, building trust in pharmacy personnel.
- Enhanced pharmacy performance through delivery of high-quality customer service.
- Covered shifts for colleagues, ensuring continuous service delivery.
Education
Bachelor of Pharmacy -
The University of Zambia
11-2023
General Certificate of Education -
Chunga Secondary School
10-2014
Skills
- Claims evaluation
- Benefit verification
- Data verification
- Pharmaceutical services
- Workflow optimization
- Analytical skills
- Customer relationship management
- Time management
- Team collaboration
- Conflict resolution
- Effective communication
- Communication skills
- Attention to detail
References
- Marco Mulenga, Pharmacist, Sunga Moyo Pharmacy, +260 979 427 284
- Abel Mulenga, Benefits and Claims Officer, NHIMA, +260 973 496 252
- Apostle Fredrick Kaluluma, Senior Pastor, The City Of The Lord Church, +260 979 851 159
Timeline
Benefits and Claims Support Officer
NHIMA
04.2024 - Current
Pharmacy Assistant
Sunga Moyo Pharmacy
11.2023 - 02.2023
Bachelor of Pharmacy -
The University of Zambia
General Certificate of Education -
Chunga Secondary School