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Rachiel Musindo Nurse-Claims Assessor

Harare. Zimbabwe
Claims AssessorRegistered nurse

 

RACHIEL MUSINDO

9 Ellers Road, Ashdown Park, Harare. Zimbabwe [email protected]

SUMMARY OF QUALIFICATIONS

Over 10 years of experience in medical insurance

Strong background in risk management

Proven skills in claims assessing

Demonstrated ability to work under pressure and minimum supervision

Professional communication skills include fluency in English

Recent graduate of Honors Degree Insurance and Risk Management at Midlands State University

Computer Skills include Microsoft Office, internet and email

PROFESSIONAL EXPERIENCE

Registered Medical Nurse

Harare Central Hospital. Harare. Zimbabwe.                                                                         2004-2005

Caring of patients with self-care deficit that is cleaning, dressing and grooming.
Urinary catheter care and attending to elimination of patients.
Caring of patients on peritoneal dialysis and terminally ill patients
Turns of bed ridden patients and feeding patients
Caring of asthmatic, diabetic, hypertensive and tuberculosis patients.
Drug administration of oral, intramuscular and intravenous drugs as prescribed.
Registered Surgical Nurse

St Annes Hospital, Harare, Zimbabwe                                                                               2006-2007

Pre and post-operative care of patients.
Insertion of intravenous cannulae and monitoring intravenous infusion.
Monitoring of blood transfusion
Caring of wounds and dressings
Application of traction and care of skin skeletal traction
Last offices
Claims Assessor

Cimas Medical Aid Society. Harare. Zimbabwe                                                                2007-2014

Manual screening and processing of medical, casualty and hospital claims.

Checking if the time spent in the doctor’s room is corresponding with the diagnosis and sundries used.

Checking if the drugs given at Casualty correspond with the diagnosis

Also checking if providers are not claiming for non-chargeable drugs and sundries.

Answering members and providers queries over the phone.

Liaising with Special Projects to teach providers how to claim correctly.

Reporting suspected fraudulent claims to Risk Department

Fast tracking of claims as requested

 

Premier Services Medical Aid Society. Harare Zimbabwe            2014 to date

Attending to queries from walk in clients

Liasing with service providers for any changes within the medical aid

Authorizing Anti retro viral drugs and viral load

Authorizing Chemotherapy drugs, dental, optical and private nursing.

Pre authorizing hospital admissions

Supervising Junior staff in my department

Plan, initiate and oversee the smooth running of the department.

Visiting of admitted patients in hospital to check if they warranty the admission.

Ensure monthly departmental meetings are carried out.

Ensuring that targets/deadlines are met.

Monthly reports and minutes of the meeting should be circulated no later than the 5th day of that month.

EDUCATION

Currently studying Masters Risk Management and Insurance                                          2020

National University of Science and Technology

Honors Degree Insurance and Risk Management at Midlands State University                        2018

Holder of a Diploma General Nursing from Harare Central Hospital                                              2004

Diploma Theological Studies at Faith World Ministries Bible College                                             2010