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Claims Supervisor Job in Kenya

Resolution Health East Africa Limited is a leading Medical Insurance Provider. With over 60,000 members in our fold, we have learnt to adapt in this constantly changing society, and develop products that are effective and relevant to our members. Resolution Health has over 250 medical service providers all across East Africa, a strong network of hospitals, clinics and doctors. 
The Resolution Health brand is energetic and trendy. In pursuit of our ambitious growth plan, we are looking to enroll as part of our Claims Team an individual who has analytical skills with excellent planning and organizational skills and who can contribute by being an effective team player and is capable of maintaining positive, professional relationships with our medical service providers.

Application Deadline

Job Details
Key Responsibility Areas: 
1. Ensure proper planning & coordination towards claims adjudication;
2. Ensure optimum performance of all adjudicators;
3. Ensure payment of valid claims ;
4. Ensure timely claims Reports;
5. Escalation of non resolved issues with MSPs to MSP relations;
6. Refunds and international invoices processed within 4 working days;
7. Deputize the claims manager;

The right candidate must have the following:
5 years experience in managed care in a large modern hospital
2 Years experience working in a HMO/MIP setting in a senior Managed Care Position
Knowledge in computer skills an added advantage
Excellent knowledge of claims IT systems and procedures
Good interpersonal skills
Demonstrated initiative and problem solving skills

If you believe you are a team player and would be a valuable resource to this ever growing brand, kindly email your application letter, updated CV listing three references with their email or phone contacts, your age and expected remuneration package not later than Wednesday 23rd February 2011 to
Ensure that you quote the position on your email. Only shortlisted candidates will be contacted.
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