Jobs at Markfema Nigeria Limited

Reporting to: MD / CEO

The Candidate

• Shall be ready to work hard and push the limits in ensuring claims vetting and fluent management process.
• Shall oversee thevetting of all claims submitted by our Providers to ensure they are error and fraud-free
• They will manage claims payment and be involved in the resolution of medical cases requiring special attention.

Key Responsibilities

• Examine Healthcare Providers’ Claims using the Tariff agreement to determine authenticity and payment.
• Decline fraudulent Healthcare Providers’ Claims and state causative reasons.
• Forward approved Claims to Team Lead for review and final approval.
• Investigate complicated Claims and escalate to the Team lead, if necessary.
• Carry out a physical inspection at the assigned provider’s office using the checklist.
• Investigate complicated claims by checking the case folder and speaking to the Enrollee and the doctor.
• Update Providers’ dashboard, and implement resolutions.

Minimum Qualifications

• Minimum of a Bachelor of Medicine and Bachelor of Surgery (MBBS) with a post-graduate qualifications
• 10 years of work experience.
• Previous relevant work experience in a similar role is highly desired
• Excellent Numeracy, Analytical and Problem-solving skills.
• Strong ability to make judgments on medical/ surgical cases in relation to benefits listed on enrollee’s benefits.
• Ability to make a professional judgment on coverage and non-coverage of care requests per time, based on the enrollee’s benefits table.
• Candidate must have strong computer skills.

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Reporting to: MD / CEO or Designate

Description

• Due to steady growth and expansion, we seek competent, experienced and dedicated individuals to fill the position below:

Purpose of Role

• The Business Development Manager is responsible for securing new revenue within the institution’s existing portfolio of customers and also seek out new opportunities for business growth.
• The role is expected to have a focus on strategizing, prospecting, of new customers.
• The role ensures an excellent client experience at all times and works in collaboration with the Operations team to ensure smooth transition of realizations of new business opportunities.

Responsibilities

• Define and coordinate nationwide marketing programmes
• Drive and implement all marketing activities to ensure brand and product awareness in the market place
• Maintain relationships with customers and identify new prospects.
• Possess a strong understanding of our products and our competitors in the industry.
• Follow the latest industry developments and best practices .
• Maintaining relationships with existing customers and other stakeholders by providing support, information, and guidance; researching and recommending new business opportunities.
• Recommending profit and service improvements; Identifying product improvements or new products by remaining current on industry trends, market activities, and competitors.
• Research and develop a thorough understanding of the company’s people and capabilities.
• Submit weekly progress reports and ensure data is accurate.
• Present to and consult with Senior Level Management on business trends with a view to developing new services, products, and distribution channels.
• Identify opportunities for campaigns, services, and distribution channels that will lead to an increase in customer base.
• Using knowledge of the market and competitors to identify and develop the organization’s unique selling propositions and differentiators.
• Carry out sales forecasts and analysis and present your findings to senior management.
• Any other duties as may be assigned by Management.

Qualifications and Experience

• Minimum of B.Sc / M.Sc Degree in Marketing, Acturial Studies, Business Administration from a reputable University.
• Minimum of 10 Years relevant professional experience in the HMOsector and/or Marketingsector is required
• Excellent working knowledge of MS Office Suite
• Proven track record in business deliveryis very key.

Skills:

• Ability to achieve set targets.
• Ability to develop long–term relationships with Customers.
• Ability to maintain and develop new Business Partners account, and liaison with back office staff in processing new clients.
• PC word processing, Power point presentation, spreadsheet and database preparation and evaluation skills.
• Goal oriented, focused and achieve targets.
• Self-starter and team Player
• Ability to Identify business opportunities.
• Strong stakeholder management and team player.
• Ability to network, prospect and persuade new customers.
• Sound interpersonal and negotiation skills
• Good oral and written communication skills
• Leadership, Supervision and Coaching skills
• Highly detail oriented and analytical skills

Knowledge:

• Experience in marketing and sourcing new clients f
• Knowledge of the Health Insurance / HMO industryand current trends.
• Knowledge of the market, current media issues, social media, competitor behavior and strategy.
• Knowledge of effective use of customer relations strategy.
• Knowledge of online and offline marketing strategies and tools.
• Knowledge of the financial products and services.
• Experience in developing marketing strategies.
• Experience in relationship building and customer management.