Gabriel Mwanyalo

Experience

• 

  Acacia Medical Center

  Dec 2008 - Dec 2010

  Pharmaceutical Technologist

  Responsible for dispensing medications accurately, providing drug information to patients and healthcare professionals, managing inventory, and ensuring compliance with pharmacy regulations. Collaborating with the healthcare team to ensure safe and effective medication therapy, while maintaining a high standard of pharmaceutical care.

• 

  Ken-Bangla Pharmaceuticals

  Jan 2010 - Aug 2010

  Medical Representative

  Responsible for promoting pharmaceutical products to healthcare professionals, delivering product presentations, building relationships, and providing accurate product information to drive sales and brand awareness.

• 

  Torrent Pharmaceuticals Ltd

  Sept 2010 - Jul 2011

  Medical Representative

  Involved in promoting pharmaceutical products to healthcare professionals and establishing strong relationships with them. Additionally, educating medical practitioners about product benefits, attending conferences, and achieving sales targets within my designated territory.

• 

  AAR Insurance

  Sept 2011 - Apr 2012

  Medical Claims Analyst

  In charge of assessing and examining medical claims, ensuring they adhere to policies and regulations, probing into any inconsistencies, using coding systems, and keeping records to ensure precise and punctual handling of claims.

• 

  Madison Group Kenya

  Apr 2012 - Sept 2014

  Medical Claims Analyst

  Responsible for reviewing and analyzing medical claims, ensuring compliance with policies and regulations, investigating discrepancies, utilizing coding systems, and maintaining records for accurate and timely claim processing."

• 

  APA Insurance Limited

  Sept 2015 - now

  Responsible for overseeing a team of claims processors and ensuring the accurate and efficient processing of health insurance claims. Other duties include managing staff, providing guidance on claim adjudication, resolving complex claim issues, conducting quality assurance reviews, and maintaining compliance with industry regulations. Additionally, collaborating with other departments to improve processes and customer service while monitoring performance metrics to achieve departmental goals. Responsible for meticulously reviewing and analyzing medical claims, ensuring strict adherence to insurance policies and healthcare regulations, investigating discrepancies, utilizing medical coding systems, and maintaining comprehensive records, all to facilitate accurate and timely claim processing while upholding the highest standards of integrity and ethics in the healthcare claims industry.

  • Team Leader - Health Claims

    Oct 2023 - now

  • Senior Medical Claims Analyst

    Sept 2015 - Sept 2023