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Claims Administrator Job in Kenya

Position Title: Claims Administrator 
 
Department: Medical Operations
 
Reports To: Assistant Claims Manager through the Senior Claims Administrator
 
Supervises: None
 
Hours of Work: The job is done within normal working hours with the jobholder occasionally being required to work beyond normal hours.

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

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