Bertha Louise Makanga
Lusaka,Zambia
Summary
Detail-oriented Claims Officer skilled in investigating and processing insurance claims. Expertise in assessing claim validity and negotiating settlements, enhancing customer satisfaction and strengthening company reputation. Successfully resolved complex claims through strategic problem-solving and effective communication.
Overview
14
14
years of professional experience
Work History
Claims Officer
University of Lusaka Hospital
Chongwe
01.2025 - Current
- Implementing workflow optimization strategies to reduce claim processing time while maintaining accuracy.
- Auditing claim procedures and documentation, achieving 100% compliance with regulatory and company standards.
- Training teams on billing and compliance protocols, improving team efficiency and reducing errors.
- Maintaining detailed records for auditing, promoting transparency and accountability in billing and financial transactions.
Claims Assistant
Medland Hospital
Lusaka
07.2021 - 12.2024
- Reviewed and prepared 50+ monthly bulk claim forms, ensuring accuracy and compliance for timely submissions.
- Developed and executed systematic audit processes that minimized data discrepancies and enhanced overall data integrity.
- Prepared and reviewed over 50 monthly bulk claim forms, ensuring accuracy of information before submission.
- Trained new hires on claims processing and quality standards, enhancing team knowledge and performance.
Data Entry Clerk
The United Church of Zambia Synod Headquarters
Lusaka
08.2012 - 09.2012
- Achieved 99% data accuracy by implementing standardized naming conventions.
- Ensured all data was accurately recorded and stored in compliance with internal standards.
- Recorded and stored data accurately, ensuring compliance with internal standards.
Education
Bachelor of Arts with Education - Education and Curriculum Development Studies
The University of Zambia
LusakaSkills
- Claims processing
- Claims assessment
- Regulatory compliance
- Data management
- Process Optimization and Workflow Efficiency
- Error reduction
- Customer and Stakeholder Coordination
- Team training
Languages
- English
- Nyanja
- Bemba
Timeline
Claims Officer
University of Lusaka Hospital
01.2025 - Current
Claims Assistant
Medland Hospital
07.2021 - 12.2024
Data Entry Clerk
The United Church of Zambia Synod Headquarters
08.2012 - 09.2012
Bachelor of Arts with Education - Education and Curriculum Development Studies
The University of Zambia