Dr. Oluwajunilo Akinpelu

Experience

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  CEO

  Jan 2016 - Aug 2018

  Catering Manager

  · Responsible for coperate or social events such as birthdays or dinner parties with guests of 150 or more· Demonstrated ability to interact with customers from diverse cultures and backgrounds. · Record orders and record the progress of sales · Ensured each customer was presented with quality customer service and left with a positive experience.· Maintained sales standard through exceptional customer service and prompt follow up.· Exceptional customer service • Increased overall catering revenue by 80% through effective marketing strategies and expanding the client base.• Successfully executed a high-profile gala event for a reputable organization and received accolades for exceptional service and culinary offerings.• Awarded “Certificate of appreciation for catering and organization of event Show less

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  University College Hospital, Ibadan

  Jul 2019 - Aug 2020

  Medical House physician

  - Successfully Assisted in Complex Surgeries and demonstrated exceptional surgical skills and knowledge while assisting senior surgeons in complex medical procedures.- Excellent Patient Care and Communication and received praise from patients and their families for displaying empathy, compassion, and clear communication during medical consultations and treatment plans.- Effective Multidisciplinary Collaboration and demonstrated strong teamwork and communication skills by collaborating with nurses, medical staff, and other healthcare professionals to ensure comprehensive patient care and treatment.- Made significant contributions to ongoing research projects.- Outstanding Performance on Medical Rounds and received accolades from supervising physicians for presenting thorough and well-researched patient cases during medical rounds, showcasing a deep understanding of medical conditions and treatments.- Displayed expertise in diagnosing and treating various medical conditions, effectively utilizing medical history, physical examinations, and diagnostic tests to provide accurate diagnoses and treatment plans.- Reacted quickly and confidently in critical situations, providing life-saving interventions and emergency care to patients- Actively pursued continuing medical education opportunities, attending seminars, workshops, and webinars to stay updated with the latest medical advancements and best practices.- Demonstrated leadership qualities by efficiently organizing medical teams, coordinating patient care, and providing guidance to medical students Show less

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  NYSC

  Jan 2021 - Dec 2021

  General Practitioner

  - Received consistently positive feedback and high patient satisfaction ratings for providing compassionate and comprehensive healthcare services, fostering trust and rapport with patients.- Demonstrated exceptional diagnostic skills, resulting in accurate and timely diagnoses for patients, leading to effective treatment plans and improved health.- Successfully managed and treated complex medical cases, showcasing the ability to handle challenging medical conditions with competence and confidence.- Established strong, long-term relationships with patients, ensuring continuity of care and ongoing support for their medical needs.- Proactively promoted health and preventive care, conducting regular screenings and health education sessions to empower patients in managing their health and preventing illnesses.- Streamlined the referral process, collaborating with specialists and healthcare facilities to ensure seamless care for patients requiring specialized treatments.- Contributed to medical research projects or clinical trials, furthering the understanding of specific medical conditions and innovative treatment approaches.- Demonstrated leadership skills by effectively managing medical teams or serving as a mentor to medical students and junior healthcare professionals.- Engaged in community outreach programs, organizing health camps, and participating in health awareness campaigns to promote better health within the community. Show less

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  Confidential

  Jan 2022 - Apr 2022

  General Practitioner

  • Medical doctor in respected private medical hospital, provided personalized service to maximize patient outcomes and satisfaction.• Conducted physical exams of patients to diagnose illnesses and create patient histories.• Provided emergency care for all kind of presenting emergencies.• Performed minor surgeries such as primary closure techniques (suturing).• Interpreted lab information to provide patients with proper treatment.• Refer patients to specialist and prescribe medication or treatment options when necessary. Show less

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  Fidelity United

  Jul 2022 - Aug 2023

  Medical Claims Officer / Group Life Claims Specialist

  •Adjudication of claims in accordance with insurance policy terms and conditions, company policies and procedures according to productivity and quality standards.•In charge of approvals and approval related queries •Ensures that targets are met for department Turnaround time, Quality and Productivity.• Achieved savings of over 4.6M AED via cost control measures•Handling of TTD, PPD, PTD and death claims •Communications with TPA and reinsurers to approve justified claims as per policy terms•Ensure claims are settled within TAT•Ensure claims are properly scrutinized and avoid upcoding of DRG•Management of high valued claims•Enhanced Customer Service: Implemented customer-centric approaches to handle claim inquiries and disputes, resulting in a higher level of customer satisfaction and improved resolution of issues. Show less

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  Confidential

  Dec 2023 - now

  Senior medical claims Officer

  • Responsible for processing of claims based on the standard operating protocol and policies.•Review DRG codes/severity submitted by the health facilities • Ensure the adjudication process is accurate against technical details of contractual prices and discounts, schedule of benefits, adherence of policy limits and claims submission protocols.• Audit claims in line with Medical Justification, Standard Exclusions, Network provider contracts & as per the policy and procedures of claims department.• Reports Fraud and Abuse trends from Network providers or for Insured members to network or FWA team.•Apply the claims submission procedure regarding copayment calculation, penalty calculation and ensure that submission timeline and process are followed.•Ensures that insurance claims information is entered into the system correctly, to ensure accurate processing and timely payment.•Ensures that provider’s fees and service items charges coincide with agreed tariff•Screens claim documents and process claim adjustment.•Ensures Payment Orders are properly created and forwarded accordingly for final documentation• Pro-actively respond to any queries received. Show less