Job Title: Claims Assessor
Department: Administration/Operations
Position: Permanent
Job Location: Nairobi, Kenya
Summary:
The position calls for a results oriented individual with proven ability to work with minimal direction in a fast paced environment.
The candidate will be responsible for managing the medical claims for members of International and local medical providers as well as facilitating admissions into hospital and medical evacuations out of the country.
The job requires involvement with high level clients and exposure to sensitive information necessitating considerable tact, diplomacy, discretion and judgement.Department: Administration/Operations
Position: Permanent
Job Location: Nairobi, Kenya
Summary:
The position calls for a results oriented individual with proven ability to work with minimal direction in a fast paced environment.
The candidate will be responsible for managing the medical claims for members of International and local medical providers as well as facilitating admissions into hospital and medical evacuations out of the country.
The aim of the candidate’s job is to ensure efficient and effective claim and admission processing for client satisfaction and retention of business.
Key Competencies:
- Effective and fluent verbal and written communication skills in English
- Competency in MS Office and internet applications
- Able to prioritise and organise a highly varied work schedule
- Deliver on time and within deadline and the company set turn around times.
- Ability to work independently and in a team environment with diverse cultures
- Ability to handle sensitive information and situations in a confidential manner
- Ability to stay calm under pressure and within limited time constraints, handling multiple projects simultaneously
Main Responsibilities:
- Customer service – Correspondence with Clients on claim issues and queries; Correspondence with Medical providers and Insurers on member claim issues
- Claim assessments – Preparation of documents for assessment, Claim vetting and input into computer system, monitoring limits and benefits, follow up and reporting on claims assessed, dispatch and payment of claims within the turnaround terms set by the company.
- Facilitating smooth inpatient care for members into hospital – coordination with hospital and provider for admissions, ensuring payment issues are resolved at the outset, making visits/calls to ensure members are satisfied.
- Facilitating smooth medical evacuation of members – coordination with member and provider for evacuation, ensuring payment issues are resolved at the outset
Preferred Qualifications & Occupational Skills:
- Bachelor’s degree or
- Diploma in relevant field (Insurance, Commerce, Administration)
- Familiarity and experience in dealing with medical insurance, processing and products
Interested applicants are requested to send their applications & detailed CV indicating current salary and benefit history with 3 references including current employer, copies of certificates and any other testimonials on or Before 20th Sept, 2010 to:
Lifecare International Insurance Brokers Ltd,
P.O. Box 59789 – 00200,
Nairobi.
Or Email: hr@lifecareinternational.co.ke
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