Fresh Jobs at Reliance HMO

Description

• We are seeking a dedicated Junior People Partner to join our team and support aligning business objectives with our employees and management in designated divisions.
• In this role, you will act as a consultant to management on various People Operations-related matters, serving as both an employee advocate and a change agent.
• You will collaborate closely with the HR team to deliver value-added services that align with our organizational goals and drive success for both management and employees.

Key Responsibilities: 

Business Partnering: 

• Act as a point of contact for managers and employees in the business unit. 
• Understand business objectives and support HR strategies to align with them. 
• Provide HR guidance on basic HR policies and procedures. 

Employee Relations: 

• Assist in managing and resolving employee relations issues. 
• Conduct initial investigations and escalate complex issues as needed. 
• Maintain knowledge of legal requirements related to day-to-day management of employees, reducing legal risks, and ensuring regulatory compliance. 

Performance Management: 

• Support the implementation of performance management systems. 
• Assist line managers with performance reviews and development plans. 
• Help address underperformance and support setting achievable goals. 

Talent Management: 

• Assist in the talent acquisition process by coordinating with the recruitment team. 
• Support the onboarding process to ensure a smooth transition for new employees. 
• Help develop and implement employee retention programs. 

Learning and Development: 

• Identify basic training needs for business units and individual coaching needs. 
• Collaborate with the Learning & Development team to deliver relevant training programs. 
• Monitor and evaluate training programs for effectiveness. 

Compensation and Benefits: 

• Provide basic guidance on compensation and benefits matters. 
• Support the annual salary review and bonus processes. 

Change Management: 

• Support organizational change initiatives by providing HR expertise and guidance. 
• Assist in developing change management strategies to support business objectives. 
• Facilitate communication and training during periods of change. 

Requirements

• 1-2 years of experience in an HR role. 
• knowledge of HR practices and labour laws. 
• Experience with performance management, employee relations, and talent management. 
• Excellent interpersonal and communication skills. 
• Ability to build and maintain positive relationships with colleagues and stakeholders. 
• Strong problem-solving and decision-making skills. 
• Ability to handle sensitive situations with tact and confidentiality. 
• Proficiency in HRIS and Microsoft Office Suite. 

go to method of application »

Description

• The Claims Operations Associate is responsible for managing claims and approvals processes, and the scope of work includes vetting health insurance claims and approval from service providers, reconciling payments and negotiating and uploading claim tariffs.

Job Description

• Examine and approve or reject healthcare providers’ claims to meet set targets.
• Investigate claims for fraud, waste and abuse.
• Promptly resolve escalated approval requests for care.
• Negotiate tariffs and update the providers’ dashboard and execute other elements of tariff management.
• Collaborate with the technology team to improve the processes claims, tariff and approvals management system
• Collaborate with customer success and provider relations teams to ensure customer satisfaction goals

Requirements

• Minimum of a first degree in medicine, nursing or pharmacy and completion of internship or housemanship.
• Previous experience in a claim examiner role is a major advantage.
• Excellent numeracy, analytical and problem-solving skills.
• A high-level of responsiveness is essential and openess to working shifts including occasional weekends.
• Strong medical and clinical knowledge and experience.
• Excellent interpersonal and communication skills.