Summary
Overview
Work History
Education
Skills
Languages
Timeline
Generic
Ilen  Richard  John

Ilen Richard John

Dar Es Saalaam

Summary

Proficient claims associate skilled in handling high volumes of claims. Processes adjustments based on identifiable liability and compensability. Supports work of senior team members by organizing documentation and assisting on complex cases. Seasoned insurance specialist with excellent planning and problem solving abilities. Offering several years of experience and a willingness to take on any challenge. Organized, driven and adaptable professional with successful history managing high caseloads in fast-paced environments. Friendly Insurance Verification Specialist promoting a background in keeping sensitive patient data confidential while maintaining knowledge of Medicaid and private policy benefits. Possessing great relationship building and communication skills. Looking to tackle new challenges with a company that values dynamic skills and a strong work ethic. Dedicated and adaptable professional with a proactive attitude and the ability to learn quickly. Strong work ethic and effective communication skills. Eager to contribute to a dynamic team and support organizational goals. Recent graduate with excellent research, technical, and problem-solving skills. Detail-oriented and able to learn new concepts quickly. Motivated high school student with a track record of academic excellence looking for part-time work. Intends to develop professional work experience utilizing excellent communication and time management skills. A committed student eager to leverage exceptional communication and interpersonal skills in a professional setting. Possesses experience in data entry and money handling. Capable of quickly memorizing product details and fostering strong customer relationships. Results-oriented individual with a passion for continuous learning and innovation. Known for leveraging analytical thinking and creativity to solve problems and deliver high-impact solutions in fast-paced environments. Experienced and dependable general worker with a proven track record of efficiently completing tasks in various settings. Skilled in manual labor, equipment operation, and maintaining a clean and organized workspace. Safety-conscious with a strong work ethic and the ability to adapt to different environments. Ready to contribute to a dynamic team and make a positive impact. Experienced professional with a strong background in technology-related roles. Proficient in software development, system administration, and technical support. Skilled in problem-solving and optimizing performance. Capable of managing projects and collaborating effectively with teams. Committed to continuous learning and staying current with industry trends to contribute to organizational success.

Overview

1
1
year of professional experience

Work History

Insurance Claims Specialist

Alliance life assurance
Dar Es Salaam, Tanzania
08.2023 - 10.2023
  • Performed administrative tasks such as filing, photocopying, faxing.
  • Tracked status of pending and resolved cases using tracking software.
  • Maintained accurate records of all claims activities in the database system.
  • Updated databases with new customer information as required.
  • Collaborated with team members to resolve customer complaints promptly and efficiently.
  • Prepared reports on claims processing performance metrics.
  • Identified discrepancies in policy information and applied necessary corrections.
  • Verified accuracy of claim submissions against policy details.
  • Answered customer inquiries regarding claim status and other related topics.
  • Reviewed insurance policies to determine coverage and eligibility for claims.
  • Actively participated in training sessions to stay abreast of changes in regulations.
  • Analyzed data trends to identify areas of improvement in claims processing procedures.
  • Adhered to company protocols when handling sensitive personal information.
  • Researched relevant laws and regulations to ensure compliance with insurance industry standards.

Insurance Coordinator

Alliance life assurance ltd
Dar Es Salaam, Tanzania
08.2022 - 10.2022
  • Prepared invoices for payment processing according to established guidelines.
  • Participated in meetings with senior management to discuss current projects and develop action plans for implementation.
  • Performed customer service duties such as answering inquiries, providing information and resolving customer complaints.
  • Processed payments for insurance premiums and maintained accurate records of all transactions.
  • Provided assistance with the coordination of underwriting activities for new business policies.
  • Investigated any discrepancies between client's stated needs and actual coverage requirements.
  • Compiled data from various sources to prepare reports for management on a regular basis.
  • Responded promptly to customer inquiries regarding billing issues or policy updates.
  • Evaluated customer feedback on products and services offered by the company in order to identify areas of improvement.
  • Maintained up-to-date knowledge of industry trends in order to provide customers with the best possible coverage options.
  • Analyzed current processes for identifying areas where improvements could be made in order to increase efficiency.

Education

Bachelor of Science - Insurance And Risk Management

INSTITUTE OF FINANCE MANAGEMENT
DAR ES SALAAM
11-2024

Some College (No Degree) - Secondary Education

ADVANCE SECONDARY EDUCATION
BAGAMOYO
05-2021

Some College (No Degree) - Secondary Education

KINDOROKO SECONDARY SCHOOL
SAME-KILIMANJARO
11-2018

Skills

  • Claims Investigation
  • Policy Interpretation
  • Insurance knowledge
  • Small Claims Payouts
  • Data Entry
  • Customer Service
  • Eligibility Determination
  • Claim Amount Calculations
  • Teamwork and Collaboration
  • Client Interviews
  • New Policies Processing
  • Insurance Claim Forms Review
  • Composing Business Correspondence
  • Secure data practices
  • Account Management Software
  • Coverage Determination
  • Active Listening
  • Recordkeeping Organization
  • Decision-Making
  • Time management abilities
  • Excellent Communication
  • Reporting abilities
  • Electronic authorization processing
  • Outstanding clerical abilities
  • Interpersonal Skills
  • Analytical Thinking
  • Account management expertise
  • Policy Review

Languages

Swahili
First Language
English
Intermediate (B1)
B1
French
Elementary (A2)
A2

Timeline

Insurance Claims Specialist

Alliance life assurance
08.2023 - 10.2023

Insurance Coordinator

Alliance life assurance ltd
08.2022 - 10.2022

Bachelor of Science - Insurance And Risk Management

INSTITUTE OF FINANCE MANAGEMENT

Some College (No Degree) - Secondary Education

ADVANCE SECONDARY EDUCATION

Some College (No Degree) - Secondary Education

KINDOROKO SECONDARY SCHOOL
Ilen Richard John