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  • Posted: Feb 10, 2016
    Deadline: Not specified
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    THT helps make healthcare work in Nigeria. We enable our customers to access affordable, reliable healthcare and we support healthcare providers in their efforts to deliver it. We manage healthcare so that our customers and our partners can thrive. THT is one of Nigeria’s pioneer Health Management Organisations (HMOs), renowned by our stakeholders f...
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    Claims Assessor

    Job Description:

    • To vet all claims pertaining to either the managed care or Blue product to ensure that the daily targets are achieved
    • To capture all claims pertaining to either the managed care or Blue products to ensure that the daily targets are achieved
    • Send out cheques to providers within the agreed SLA
    • To ensure all Claims correspondence to providers or members are sent out timeously
    • To adhere to and live the organisational values.

    Requirements:

    • Candidate must be a registered nurse, midwife and possess B.Sc. Nursing
    • Additional medical qualification will be an added advantage
    • Candidate must have minimum of 4 years post-nursing qualification experience including 2 years in similar role in a Health Maintenance Organization (HMO).
    • Candidate must have Clinical experience
    • Candidate must have advanced knowledge of NHIS regulatory guidelines, Medical Global Best Practices, Health Insurance, Products and Processes, Claims Processes and Procedures and Scheme Rules.
    • Excellent organizational, communication (verbal and written) skills and attention to detail

    Other requirements:

    • Good organizational and planning capabilities
    • Innovative and quick thinking capabilities
    • Innovativeness
    • Adaptive
    • Decision Making skills
    • Integrity
    • Negotiation Skill
    • Adaptive, expertise, Result-Oriented, Relationship Skill
    • Working with people
    • Strategic
    • Must be a good collaborator/Team player

    Method of Application

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