Divinah Mecha

A highly resourceful and detail-oriented Healthcare Professional with extensive experience in clinical medicine and medical insurance operations. Currently serving as a Medical Analyst and Claims Assessor at Medical Administrator's Kenya Limited (MAKL), I possess a unique blend of clinical expertise and administrative proficiency. I am skilled in patient diagnosis, surgical follow-ups, and rigorous medical auditing.

I am committed to achieving organizational objectives through precise diagnostic accuracy, ethical clinical practice, and efficient claims management within the Kenyan healthcare ecosystem.

Medical Claims Assessor - SAVANNAH HOSPITAL - Kenya

(2026-06)

• Assessing medical claims
• Rechecking if all documents are attached with tallying investigations, diagnosis and medication before submitting to the insurance platform
• Attending patients at outpatient, guiding patients on family planning
• Giving health talks where necessary

MEDICAL ANALYST / AUDITOR / CLAIMS ASSESSOR - Medical Administrator's Kenya Limited (MAKL) Under Minet insurance - Kenya

(2024-04 - 2026-04)

• Assessing medical insurance claims to ensure clinical necessity and strict policy adherence.
• Auditing hospital bills and clinical records to prevent fraud under medical billing practices.
• Analysing patient diagnosis at a to validate the appropriateness of prescribed treatments.
• Review pre-authorization requests for inpatient and outpatient medical services accurately.
• Collaborate with healthcare providers to resolve discrepancies in medical documentation.
• Monitor hospital utilization trends to identify and mitigate financial risks for the firm.
• Compile comprehensive audit reports for management review on a regular weekly basis.

CLINICAL OFFICER - NEOCARE SPECIALIST HOSPITAL - Kenya

(2022-11 - 2024-04)

• Conducted thorough history taking and systematic physical examinations for all patients.
• Performed relevant diagnostic investigations to confirm clinical suspicions and diagnoses.
• Provided definitive medical treatments and prescriptions as per national health guidelines.
• Executed minor surgical procedures and ensure sterile wound management protocols.
• Managed high-volume outpatient clinics while maintaining a high standard of clinical care.
• Coordinated with the nursing team to monitor the recovery of admitted patients.
• Conducted daily ward rounds and presented clinical findings to senior medical officer.

CLINICAL OFFICER - MABUNDU MEDICAL CENTER - Kenya

(2022-09 - 2022-11)

• Evaluated patient clinical history to identify primary symptoms and health concerns.
• Performed head-to-toe physical examinations to detect physiological abnormalities.
• Ordered and interpreted laboratory investigations to support accurate disease diagnosis.
• Administered pharmacological treatments and monitored patients for adverse reactions.
• Provided reproductive health services, including family planning and contraceptive advice.
• Performed minor procedures such as suturing of lacerations and abscess drainage.
• Maintained meticulous patient record to ensure data integrity for follow-up visits.

CLINICAL OFFICER - NYAMBASO MATERNITY AND NURSING HOME - Kenya

(2022-01 - 2022-08)

• Managed antenatal and postnatal care for expectant mothers within the maternity unit.
• Monitored maternal and fetal well-being during the different stages of active labor.
• Diagnosed and treated common maternal complications and newborn health issues.
• Provided comprehensive counselling on exclusive breastfeeding and infant nutrition.
• Executed minor obstetric and surgical procedures under strict aseptic conditions.
• Recorded and reported vital signs and clinical changes to the senior medical team.
• Managed the inventory of emergency drugs and delivery room medical supplies.

CLINICAL OFFICER - NYAMATARO MEDICAL CENTRE - Kenya

(2021-08 - 2021-12)

• Managed patient flow in the outpatient department through efficient triage and diagnosis.
• Performed diagnostic investigations, including rapid tests and clinical assessments.
• Provided comprehensive family planning services and reproductive health counselling.
• Administered treatments for common ailments and infectious diseases accurately.
• Executed minor procedures, including suturing and cleaning and dressing.
• Recorded detailed clinical notes to ensure absolute continuity of patient care.
• Ensured strict adherence to infection prevention and control (IPC) standards.

CLINICAL OFFICER Volunteer - KEGOGI DISPENSARY - Kenya

(2021-06 - 2021-07)

• Gathered detailed patient clinical histories to identify complaints and symptoms.
• Performed physical examination to detect signs of illness or physiological distress.
• Diagnosed common community health ailments and initiated appropriate treatment protocols.
• Provided essential medications and advised patients on correct dosage and usage.
• Administered family planning services and counselled clients on reproductive health.
• Performed minor clinical procedures, including wound dressing and basic suturing.
• Maintained accurate medical registers to ensure consistent tracking of patient health.

CLINICAL OFFICER INTERN - AIC LITEIN MISSION HOSPITAL - Kenya

(2020-06 - 2021-05)

• Performed detailed clinical rotations in internal medicine, surgery, maternity and paediatrics.
• Conducted comprehensive history taking and physical exams under senior supervision.
• Assisted in major surgical procedures and performed minor surgeries independently.
• Managed pediatric clinics and followed up on the progress of recovering infants.
• Participated in consultant-led ward rounds and presented complex clinical cases.
• Ordered and analysed diagnostic imaging and laboratory tests for ward patients.
• Documented patient progress notes and discharge summaries with high precision.

DIPLOMA IN CLINICAL MEDICINE AND SURGERY - Kenya Medical Training College (KMTC), Nyamira Campus (2016 - 2019)

KENYA CERTIFICATE OF SECONDARY EDUCATION (KCSE) - Eramba Secondary School (2011 - 2014)

KENYA CERTIFICATE OF PRIMARY EDUCATION (KCPE) - Nyasore Primary School (2000 - 2008)