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    • Employee Medical Claims Officer at a Leading Agricultural Company

    Posted: Sep 17, 2018
    Deadline: Not specified
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    Employee Medical Claims Officer

    Description:

    Responsibilities:

    • Maintain relationship with Medical Insurance companies
    • Follow up with employees to ensure required documents are obtained before processing claims requests
    • Verify the accuracy and completeness of information on claims applications and related documents and analyse such information to produce reports that feed into decision making process for medical insurance cases
    • Process claims with Medical Insurance Company/Brokers for timely settlement
    • Follow up for claims processing, pending cases, rejected cases and incomplete settlement
    • Work closely with Finance team to track claims proceeds received
    • Maintain record of details of claims settlements received from Insurance Company/Brokers and other pertinent information
    • Promptly review and respond to mails on Claims Package Exceptions
    • Add and promptly delete employee medical insurance enrolment schedule/list as required
    • Maintain record of medical insurance agreements
    • Obtain weekly/ monthly reports of claims settlement and update own records
    • Reconcile claims settled with those filed
    • Share monthly report to respective Business Units

    Requirements:

    • Bachelor’s degree in a relevant discipline
    • Minimum of 2 years’ experience working in an Health Management Organisation handling claims settlement
    • Excellent communication skills
    • Ability to identify and understand relationships, constraints and pressures affecting others.
    • Problem solving and analytical skills.
    • Ability to work under pressure of deadlines.
    • Ability to work sensitively in a multicultural environment
    • Proficient in the use of MS Office software (Word, Excel, PowerPoint

    Method of Application

    Interested and qualified candidates should apply using the Apply Now button below.

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