PROSCOVIA NALIANYA

I am a medical claims team leader , with proven experience in patient care and management having worked in healthcare and medical insurance provision.  I have a well-developed understanding of service delivery within the healthcare space with a strong reputation for delivering results through outstanding analytic skills, effective communication, excellent customer service, initiative and decision making with the wellbeing of the client at the centre of what I do

Jan 2018 – Dec 2021:  Resolution Insurance Limited-  Medical Claims Team Leader

July 2015 – Dec 2018:  Resolution Insurance Limited-Medical Service  Provider Officer

Jan 2012 – June 2015: Resolution Insurance Limited-Medical Claims Adjudicator

Jan 2009 –  Dec 2011: Resolution Insurance Limited-Jan 2009 –  Care Manager

Dec 2003 – May 2008: Acacia Medical Center-Clinic Nurse in Charge

Additional work experience: 

Over the time period of 1994 – 2003, I worked in various hospital setups.  During this period, I managed outpatient and inpatient direct patient care, managed many difficult emergency scenarios where I learnt how to employ quick actions to save lives, evaluated appropriate care plans and physician orders, coordinated information between patients, peers, managers and other medical personnel as well as working with a team.  Throughout this period, my ethos over patient care was clearly defined and enhanced.  

2020 –2021   Kenyatta National Hospital School of Nursing

                         Kenya Registered Oncology Nurse (Diploma)

2005 – 2007   Aga Khan Hospital University Nairobi.

                          Registered Community Health Nurse (Diploma)

1993 – 1995   St Elizabeth School of Nursing Mukumu.                    

                          Community Health nurse (Certificate)

1987 – 1990   Turkana Girls Secondary School (Diploma: Kenya Certificate Secondary Education)