Summary
Overview
Work History
Education
Skills
Areas of Expertise
Timeline
Generic

ajah Obianuju

Lagos

Summary

Results-driven healthcare professional with extensive clinical and administrative experience , excelling in claims review and medical record evaluation.Skilled in adjudicating hospital and individual reimbursement claims, reviewing medical conditions, diagnostics, and treatments to ensure compliance and cost efficiency. Adept at bridging clinical knowledge with financial oversight to deliver optimum savings while maintaining quality patient care. Known for meticulous attention to detail, strong analytical skills, and effective communication across medical and administrative teams.Proven ability to collaborate with healthcare providers to enhance processes and achieve financial savings.

Overview

16
16
years of professional experience

Work History

Claim Review Officer (Contract)

AXA Mansard HMO- Lagos State
Lagos
09.2022 - Current

- Adjudicate hospital and individual reimbursement claims, ensuring accuracy and compliance with medical standards.

- Review medical conditions, treatments, diagnostics, and hospitalization records to validate claims.

- Ensure optimum cost containment and financial savings for the organization.

- Collaborate with healthcare providers to resolve discrepancies and improve claims processes.

- Maintain detailed documentation and reporting for claims decisions.

Nurse in Charge/Supervisor

Cypress Hill Hospital- Lagos
Lagos
04.2020 - 07.2022
  • Supervised nursing staff to ensure adherence to patient care standards and protocols.
  • Coordinated patient admissions, discharges, and transfers for optimal workflow efficiency.
  • Developed and implemented nursing schedules to enhance coverage and resource allocation.
  • Conducted regular training sessions for staff on best practices in patient care and safety procedures.

Nurse/ Midwife

Isalu Hospital Limited- Lagos
Lagos
01.2018 - 04.2020

- Coordinated antenatal clinics, deliveries, and postpartum care.

- Managed family planning unit and provided counseling services.

- Delivered holistic nursing care and maintained accurate patient records.

Staff Nurse/ Midwife

Blue Cross Hospital- Lagos
Lagos
01.2017 - 01.2018

Assisted in successful births and provided post-partum counseling for struggling families to improve the health and well-being of mothers and newborns.

Administered medications through oral, intravenous (IV), and intramuscular injections while monitoring patient responses and addressing emerging concerns.

Monitored patients’ conditions and reported changes in physical ability, appearance, and behavior to physicians to support treatment decisions.

Observed vital signs, assessed comfort levels, and monitored the emotional states of mothers before, during, and after labor.

Provided high-quality nursing care to approximately 10 patients daily within a 10-bed unit.

Carried out vaccinations and immunizations in accordance with medical guidelines.

Performed various nursing interventions including wound dressing, vital sign monitoring, and patient care support.

Staff Nurse

Apex Care Hospital- Lagos
Lagos
11.2015 - 12.2016

- Provided perioperative care and managed orthopedic emergencies.

- Coordinated post‑surgical recovery and documentation.

Youth Corper(Nurse)

Akowonjo Primary Health Center- Lagos
Lagos
09.2014 - 09.2015

- Delivered antenatal services, health talks, and pregnancy monitoring.

- Provided neonatal and pediatric care, including emergency handling.

Nurse Intern

Federal Teaching Hospital- Ebonyi
Ebonyi
04.2013 - 04.2014

- Administered treatments plans for chronic conditions (hypertension, diabetes, BPH).

- Performed wound dressing and patient monitoring.

Student Intern/ Midwife

Mile Four Hospital- Ebonyi
Ebonyi
03.2012 - 02.2013

- Conducted uncomplicated deliveries and postpartum care.

- Monitored pregnancies and referred complex cases.

Student Nurse Assistant

Federal Neuropsychiatric Hospital – Enugu
Enugu
01.2010 - 03.2011

- Assisted in the care of psychiatric patients.

Education

First School Leaving Certificate -

Central Urban Primary School 1
Ebonyi

Bachelor of Science - Nursing Science

Ebonyi State University Abakaliki
Ebonyi
07-2012

West African Senior School Certificate -

Girls Special Science School, Ezillo
Ebonyi
06-2006

Skills

- Strong analytical and meticulous documentation skills

- Proficient in claims review and medical record evaluation

- Effective communication and teamwork abilities

- Computer literate (MS Office, healthcare systems)

- Ability to work under pressure with minimal supervision

Areas of Expertise

- Claims Management & Adjudication

- General Nursing Services

- Midwifery

- Cost Containment & Financial Oversight

Timeline

Claim Review Officer (Contract)

AXA Mansard HMO- Lagos State
09.2022 - Current

Nurse in Charge/Supervisor

Cypress Hill Hospital- Lagos
04.2020 - 07.2022

Nurse/ Midwife

Isalu Hospital Limited- Lagos
01.2018 - 04.2020

Staff Nurse/ Midwife

Blue Cross Hospital- Lagos
01.2017 - 01.2018

Staff Nurse

Apex Care Hospital- Lagos
11.2015 - 12.2016

Youth Corper(Nurse)

Akowonjo Primary Health Center- Lagos
09.2014 - 09.2015

Nurse Intern

Federal Teaching Hospital- Ebonyi
04.2013 - 04.2014

Student Intern/ Midwife

Mile Four Hospital- Ebonyi
03.2012 - 02.2013

Student Nurse Assistant

Federal Neuropsychiatric Hospital – Enugu
01.2010 - 03.2011

First School Leaving Certificate -

Central Urban Primary School 1

Bachelor of Science - Nursing Science

Ebonyi State University Abakaliki

West African Senior School Certificate -

Girls Special Science School, Ezillo
ajah Obianuju