Summary
Overview
Work history
Education
Skills
Timeline

Samantha Aherne

Dungourney,County Cork

Summary

With over 15 years of experience in the health insurance industry, i would now like to extend my skills to a hospital setting. My experience as an auditor means that i am versed in co-ordinating and executing internal and external audits. I have active knowledge of audit guidelines, regulatory compliance and internal controls to uncover and correct issues. I hold a strong command of audit preparations and reporting and would class myself as a diligent, knowledgeable and skilled team member who is motivated to positively impact operations. I am a person who is attentive to detail and confident in dealing with large and complex data.

I consider myself to be a motivated team player who will support any internal functions but i also work well in autonomous roles with excellent attention to detail. I would be described as an enthusiastic proactive problem-solver with high-level critical thinking, skilled in building and maintaining relationships with patients and colleagues. Through my years of working with health insurance members and medical professionals i have excellent phone etiquette to successfully deal with phone enquiries and complaints, coupled with my organisational skills and history of dealing with routine correspondence accurately and promptly, i believe i would make a great addition to your team.

Overview

20
20
years of professional experience
3
3
years of post-secondary education

Work history

Claims Audit Analyst/Administrator

Laya healthcare
Littleisland, Cork
01.2008 - Current
  • Previous to my current role within Laya healthcare i would have completed 5 years as a claims assessor, 2 years in a quality co-ordinator role and a further year in learning and development. All of these roles require communication with both patients and hospital/health service providers as well as multiple internal departments.
  • I have an excellent reputation both internally and externally for my communication and interpersonal skills whilst being able to prioritise necessary tasks to achieve best outcomes.
  • I enjoy working in a fast paced environment, working on my own initiative, whilst maintaining a high standard of quality, with particular attention to detail, achieving set targets.
  • The handling of sensitive information is a highly involved part of the audit process, along with the logging of noted findings and the considered compilation of evidence of inaccuracies.
  • Thorough reviews of documentation and systems to achieve completed accurate audit reports.
  • I am experienced in working with large volumes of data, to determine, calculate and present results in required formats.
  • I have been involved and led multiple projects over the past few years, improving systems that benefit both the internal user and external client.
  • Issued payments to fulfill contract requirements and complete transactions.
  • Assessed charges based on contract terms or established policies.
  • Kept accurate and updated filing systems with financial data, statements and associated records.
  • Having garnered all of these skills from the health insurance side of the fence i would now like to work more closely within a hospital setting. I am willing to work hard and be flexible with whatever is required to achieve best outcomes for the team and its requirements, whilst also helping deliver best outcomes for patients.

Local Reporter/Journalist

The Avondhu Newspaper/ Corkman Newspaper
Mallow/Mitchelstown, Cork
01.2004 - 01.2008
  • Research and investigation of specific topics
  • Covered current events and breaking news stories.
  • Verified grammar and quality of completed works against editorial standards and made adjustments.
  • Adhered to established guidelines for consistency across stories and platforms.
  • Partnered with production staff on final proofing to facilitate smooth and timely printing.
  • Conveyed specific views with well-articulated articles to generate interest or change narratives.
  • Produced knowledgeable editorials and commentaries on topics of interest.
  • Connected with key public figures in business and politics to enrich stories with unique details and insights.
  • Crafted compelling pieces for online publication, coordinating images and layout for optimised presentation.

Education

Higher National Diploma - Media Studies, Marketing, PR and Financial Management

College of Commerce, Cork
09.2002 - 06.2005

Skills

  • Confident communicator
  • Audit reporting
  • Patient engagement, Confidential and discreet
  • Data entry
  • Microsoft applications proficiency
  • File and records maintenance, Records administration
  • Shorthand writing
  • Patient note summarising
  • Routine data monitoring
  • Medical terminology

Timeline

Claims Audit Analyst/Administrator - Laya healthcare
01.2008 - Current
Local Reporter/Journalist - The Avondhu Newspaper/ Corkman Newspaper
01.2004 - 01.2008
College of Commerce - Higher National Diploma, Media Studies, Marketing, PR and Financial Management
09.2002 - 06.2005
Samantha Aherne