Position Title: Claims Administrator
Department: Medical Operations
Reports To: Assistant Claims Manager through the Senior Claims
Administrator
Supervises: None
Position Summary & Primary Objective: The Claims Administrator’s overall purpose is to ensure accurate and timely capture of client details or claims information to enable effective client satisfaction and enhanced MSP relations.
The jobholder is expected to demonstrate commitment and loyalty and perform all duties in accordance with the organization’s office routines and procedures, keeping in mind the overall business objectives.
Qualifications / Experience /
Knowledge
Knowledge & Experience Required
Essential
- Diploma in a Business field.
- At least 1 year relevant work experience.
- Good data entry skills with high accuracy
levels.
- Knowledge of working with MS Office a must.
Desirable
- A Business Degree will be an added advantage.
- Ability to work responsibly with or without
direct supervision.
Roles and Responsibilities
- Capture data accurately into Actisure and in a
timely manner.
- Vet applications/claims to ensure they are
filled correctly and that they meet policy requirements.
- Submit claims for adjudication
- Approve manual claims following adjudication
- Maintain records and/or reports of all claims
for analysis and decision making.
- Create policy documents and indicate correct
benefits as per what the client purchased.
- Request cards for new members.
Core Competencies
The following Core competencies are
the skills, knowledge and behaviors expected of an employee at Resolution
Insurance Co. Limited.
These competencies may need to be
adjusted depending on the company’s overall mission and values.
- Communication Skills: Communicates clearly and
professionally in written and oral forms to both internal and external
clients.
- Initiative and Confidence: Generates and acts
on new ideas that add value to the business.
- Looks at different ways to solve problems and
address difficulties.
- Achievement Drive: Sets goals and strives to
achieve them with enthusiasm and determination.
- Business Acumen: Has a good understanding of
the business environment and the impact their behavior has on the
reputation of the company.
- Respect: Treats colleagues and customers in a
manner which demonstrates integrity, honesty & Fairness
How to Apply
CLICK HERE to apply online
CLICK HERE to apply online
