TIMOTHY MBEWE
Lusaka
Summary
Dynamic Provider Reconciliation Officer with proven expertise at VIVA MED HOSPITAL, excelling in financial reconciliation and effective communication. Adept at resolving provider disputes and ensuring quality assurance, leveraging strong analytical skills and team collaboration to enhance operational efficiency. Committed to delivering accurate financial statements and fostering positive relationships with stakeholders.
Overview
8
8
years of professional experience
Work History
Provider Reconciliation Officer
VIVA MED HOSPITAL
Lusaka
06.2021 - Current
- In charge of the Insurance and Corporate Department.
- Preparation of all weekly and monthly insurance and corporate statements.
- Liaise with insurance and corporate companies' best operating procedures.
- Prepare financial reconciliation statements for the directors.
- Attend insurance workshops.
Provider Reconciliation Officer
Liberty Life Insurance Zambia
Lusaka, Zambia
11.2020 - Current
- Support the back and front office provider management team in producing, concluding, and signing off on periodic provider reconciliations.
- Ensure provider reconciliations for selected providers are correctly done weekly and monthly, and regularly signed off by the provider.
- Ensure quality assurance checks are performed, and any discrepancies are communicated.
- Ensure signed-off reconciliations are produced and reviewed by the Front Office Provider Relationship Officer.
- Ensure that all disputes from providers are resolved in a timely and accurate manner.
- Ensure that stale claim and benefit override processes are adhered to.
- Ensure control checks are in place, and audit deliverables are met.
- Assist the claims team with managing provider submissions and claim vetting.
- Assist with other provider relationship functions, such as managing price files.
- Assist with any ad hoc tasks, as assigned by management.
Administrative Assistant
VIVA MED HOSPITAL
Lusaka, Zambia
05.2017 - 09.2020
- Prepared invoices, reports, memos, letters, and financial statements using various software applications.
- Answered phone calls, directed inquiries to appropriate personnel, or took messages.
- Conducted research and compiled data for presentations to executives and boards of directors.
- Recorded minutes at meetings for accurate documentation and future reference.
- Greeted visitors and assessed access needs to ensure proper security protocols.
- Reviewed incoming communications to determine significance and coordinated distribution effectively.
- Managed office services, including records management, payroll processing, and budget preparation.
- Supervised clerical staff while organizing training sessions to enhance productivity.
Education
Degree - Insurance and Pensions Management
UNILUS
Lusaka, Lusaka12-2026
Diploma - Management of Information Systems
CYBER ACADEMY
Lusaka, Lusaka12.2014
Skills
- Analytical skills
- Microsoft Excel
- Effective communication
- Customer relationship management
- Presentation skills
- Public speaking
- Investigation management
- Team collaboration
- Organizational skills
- Analytical thinking
- Decision making
- Team management
Personal Information
- Date of Birth: 11/30/92
- Gender: MALE
References
- Chilufya Nyirenda, Managing Director, 26-097-774-4808, Liberty Life Insurance Zambia
- Maiwase Chilongo, Head of Operations, 26-097-998-8815, Liberty Life Insurance Zambia
- Yoram Phiri, Case Manager, 26-097-751-0755, Liberty Life Insurance Zambia
- Sejal Nail, Assistant Manager - Provider Relationship, 26-077-957-9454, Liberty Life Insurance Zambia
- Simin James Maonde, Head of Business Development - Corporate, 26-097-798-1193, Liberty Life Insurance Zambia
- Muparrakh Zuparkhodahayeva, Executive Director, 26-097-746-1215, VIVA MED HOSPITAL
- Rustamjon Musaev, General Director, 26-096-800-8800, VIVA MED HOSPITAL
- Nigora Musaeva, Medical Director, 26-097-340-0004, VIVA MED HOSPITAL
Contact
mbewetimothy@yahoo.com, timmbewe@outlook.com, 26-097-358-4652, 26-096-698-1413
Nrc Number
178755/10/1
Timeline
Provider Reconciliation Officer
VIVA MED HOSPITAL
06.2021 - Current
Provider Reconciliation Officer
Liberty Life Insurance Zambia
11.2020 - Current
Administrative Assistant
VIVA MED HOSPITAL
05.2017 - 09.2020
Degree - Insurance and Pensions Management
UNILUS
Diploma - Management of Information Systems
CYBER ACADEMY