Summary
Overview
Work history
Education
Skills
Certification
LANGUAGES
REFERENCES
HOBBIES AND INTERESTS
CUSTOM SECTION
Timeline
Generic
Kusia Sunday Obaji

Kusia Sunday Obaji

Ojodu, Lagos,Nigeria

Summary

Dedicated and compassionate healthcare professional with a strong foundation in nursing practice and a growing expertise within the Health Management Organization (HMO) sector. Currently serving as a Closed File Review Officer at AXA Mansard Health Insurance, applying clinical background to ensure accurate medical claims auditing, quality assurance, and regulatory compliance. I bring extensive hands-on experience spanning emergency care, inpatient and outpatient monitoring, medication administration, antenatal services, immunization, community health, and home-based patient support. My years as a Staff Nurse, Community Health Extension Worker, Community Health Volunteer, and Professional Home Carer have equipped me with exceptional assessment skills, critical decision‑making ability, and a deep understanding of patient care pathways. I am highly skilled in interpreting clinical documentation, evaluating treatment appropriateness, performing care checks, and collaborating with healthcare providers to promote efficient, safe, and patient‑centric service delivery. Committed to improving healthcare outcomes both clinically and administratively, I strive to support the delivery of high‑quality health services within the HMO system.

Overview

9
9
years of professional experience
1
1
Certification

Work history

Closed File Review Officer (Fraud Waste & Abuse)

AXA Mansard Health
Lagos, Lagos State
2025.06 - Current

Support teams in conducting care checks and comprehensive closed-file reviews to ensure accuracy and compliance.
Assist in auditing medical claims treatment plans and submitted documents to identify discrepancies and prevent fraud.
Evaluate medical necessity and treatment appropriateness according to AXA Mansard clinical guidelines.
Review provider documentation for completeness and adherence to regulatory compliance.
Prepare audit reports that highlighted error trends and areas needing corrective action.
Collaborate with healthcare providers and internal teams to address identified issues.
Suggest process improvements to enhance quality assurance and minimise claim errors.

  • Performed thorough investigations into reported incidents, leading to accurate record-keeping.
  • Provided customer service to improve overall visitor experience.

Staff Nurse

Isalu Hospital
Lagos, Nigeria
2025.01 - 2025.06
  • Managed emergency situations with professionalism, administering immediate care and coordinating with medical teams to ensure patient safety.
  • Carefully monitored, recorded and reported changes in patient symptoms to deliver best care practices.
  • Administered medications and treatments to patients following prescribed healthcare plans.
  • Maintained accurate and confidential patient records, ensuring compliance with healthcare regulations and patient privacy laws.
  • Responded promptly to emergency situations to deliver life-saving care and stabilise patients for additional treatments.

Live-In Professional Home Carer

Ajibola Akindele
Lagos, Nigeria
2024.05 - 2025.05
  • Supported client mental health with reading, games and activities.
  • Organised schedules of medications, meals, medical appointments.
  • Prepared nutritious meals tailored to clients' dietary requirements, promoting healthy eating habits and well-being.
  • Performed light housekeeping duties, including laundry, vacuuming, and dusting, to keep clients' living environments clean and comfortable.

Community Health Worker (Volunteer)

Maternal and Child Health (MCH) Centre, Obubra
Obubra, Cross River State
2023.04 - 2023.11
  • Aided individuals in navigating complex healthcare systems ensuring seamless access to needed services.
  • Fostered community engagement for improved public health through awareness campaigns.
  • Established trustful relationships with community members enhancing communication lines during crises situations.
  • Improved patient's mental well-being with support groups and one-on-one counselling.

Community Health Extension Worker

Ekana Medical Centre Obubra
Ogada, Cross River, Cross River State
2017.01 - 2023.01
  • Complied with all health and safety regulations for worker welfare.
  • Performed daily equipment checks for uninterrupted operations.
  • Fostered positive relationships with clients through professional interactions.
  • Met project deadlines through diligent time management practices.

Education

Bachelor of Nursing Science - Nursing

Obafemi Awolowo University
Ile-Ife, Oun State
2024.01 - 2026.03

Registered Midwife - RM

College of Nursing Sciences
Calabar
2024.01 -

Community Health Extension Worker - CHEW

College of Health Technology
Calabar
2016.01 -

Some College (No Degree) - Sciences

Excellence School
Obubra, Cross River
2012.01 -

Some College (No Degree) - FSLC

St Fidelis Nursery/ Primary School
Obubra, CRS
2007.01 -

Skills

  • Team collaboration
  • Critical thinking
  • Effective communication
  • Time management
  • Pressure resilience
  • Adaptability
  • Problem solving
  • Leadership skills
  • Graphic design
  • Medication administration
  • Vital signs assessment
  • Blood collection

Certification

  • Community Health Extension Worker License
  • Registered Midwife License RM
  • Basic Life Support Certificate- BLSC 2024

LANGUAGES

English: C1 Advanced

REFERENCES

  • Roseline Ochoule Obojor-Ogar, 08132102133, Director of Nursing Services, Cross River State, Calabar
  • Josephine Ikpeme Bassey, 08036197964, Chairman, National Association of Nigerian Nurses and Midwives, Cross River State Council
  • Ofutet Eko Oftuet, 08025693969, Chief Medical Director, Ekana Medical Centre, Ogada 2, Obubra LGA, CRS

HOBBIES AND INTERESTS

Saving life, Socializing, Drumming, Dancing, Singing, Reading

CUSTOM SECTION

6

Timeline

Closed File Review Officer (Fraud Waste & Abuse)

AXA Mansard Health
2025.06 - Current

Staff Nurse

Isalu Hospital
2025.01 - 2025.06

Live-In Professional Home Carer

Ajibola Akindele
2024.05 - 2025.05

Bachelor of Nursing Science - Nursing

Obafemi Awolowo University
2024.01 - 2026.03

Registered Midwife - RM

College of Nursing Sciences
2024.01 -

Community Health Worker (Volunteer)

Maternal and Child Health (MCH) Centre, Obubra
2023.04 - 2023.11

Community Health Extension Worker

Ekana Medical Centre Obubra
2017.01 - 2023.01

Community Health Extension Worker - CHEW

College of Health Technology
2016.01 -

Some College (No Degree) - Sciences

Excellence School
2012.01 -

Some College (No Degree) - FSLC

St Fidelis Nursery/ Primary School
2007.01 -
Kusia Sunday Obaji