Resume administrative job in Canada Toronto

Ultra Care Hospitals and Clinics Ltd Lagos, HMO Officer October 2015 - Till date • Process and review health insurance claims to ensure accuracy, policy compliance, and adherence to HMO guidelines. • Verify premium calculations, coverage limits, and benefit eligibility in line with policy terms. • Coordinate with healthcare providers to obtain and validate medical reports, invoices, and supporting documentation for claims processing. • Conduct claims audits to identify discrepancies, reduce financial exposure, and ensure regulatory compliance. • Maintain accurate financial and policy records using digital and manual systems. • Respond to policy holder and agent inquiries regarding claims status, premiums, and coverage details. • Support management with financial data analysis related to claims trends and utilization. • Assist in onboarding and training new staff on insurance procedures, documentation standards, and internal controls. Cashier/ Accounts Officer Ultra Care Hospitals and Clinics Ltd Lagos November 2014 - August 2015 • Handled daily cash transactions, reconciled receipts, and maintained accurate financial records. • Ensured proper documentation and filing of financial and insurance-related transactions. • Assisted in verifying processed claims for accuracy and compliance with organizational standards. • Provided information to clients on payment options, discounts, and billing procedures. • Identified and resolved discrepancies in billing and payment records using sound judgment.

• Institute of Chartered Accountants of Nigeria (ICAN) Professional Examination – In View (Expected Qualification: Ongoing) • Higher National Diploma (HND) - Accounting Benue State Polytechnic Ugbokolo 2014 • National Diploma (ND) – Accounting Benue State Polytechnic, Ugbokolo 2012 Diploma – Personnel Management Benue State Polytechnic, Ugbokolo 2010 Certificate – Personnel Management Benue State Polytechnic, Ugbokolo 2009

• HMO Finance Operations • Premium & Claims Reconciliation • Insurance Policy Processing • Financial Analysis & Reporting • Claims Audit & Compliance • Provider Billing Verification • Data Entry & Record Management • Risk Assessment • Microsoft Office (Excel, Word) • Customer & Stakeholder Management • Attention to Detail • Time Management

English

Detail-oriented Finance and HMO Operations professional with over 10 years of experience in health insurance administration, claims processing, premium calculations, and financial record management. Strong background in insurance policy processing, claims reconciliation, audit support, and financial analysis within healthcare and HMO environments. Proven ability to analyze policy documents, verify claims accuracy, manage provider documentation, and support financial compliance while delivering excellent customer service.