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  • Posted: Feb 28, 2018
    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 or possess B.Sc. Nursing with valid license.
    • Candidate must have a minimum of Credit or Second Class Upper Division and additional medical qualification will be an added advantage
    • Candidate must have minimum of 1 year clinical experience and experience in similar role in a Health Maintenance Organization (HMO) will be an added advantage
    • Candidate must have advanced knowledge of NHIS regulatory guidelines, Medical Global Best Practices, Health Insurance, Products and Processes, and Scheme Rules
    • Excellent organizational, communication (verbal and written), listening skills and attention to detail.
    • Candidate must be very proficient in Microsoft office packages

    Other requirements:

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

    Method of Application

    Interested and qualified? Go to Total Health Trust Ltd on totalhealthtrustlimited.has-jobs.com to apply

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