CIC Assistant Medical Claims Analyst Job in Kenya

Assistant Claims Analyst – Medical

 
Purpose of the Job

To efficiently handle all claims and settle within stipulated timelines

Duties & Responsibility

• To register and process all reported claims and appoint relevant service providers where applicable and advice the clients on the required claims supporting documents.
• Identify trends in the health care , cost saving methods ,have knowledge in the current medical costs, have negotiation skills to negotiate with providers for treatment costs
• To receive and acknowledge all customer correspondences
• To initiate claim recoveries.
• To accurately post, maintain and review claims reserves on a continuous basis
• To raise payment requisitions within the set standards.
• To promptly and efficiently attend to customer queries, and complaints
• Ensure all claims documents are archived in the relevant systems
• To continuously recommend system enhancements for improved services
• To communicate risk improvement measures for implementation in the underwriting department by monitoring claims experience trends
• To distribute the incoming correspondences and dispatch outgoing correspondences
• To resolve customer complaints and disputes swiftly, fairly and diplomatically
• Prepare various claims analysis reports for clients and management consumption
• Any other duties as may be allocated by the management from time to time.
• Knowledge in medical underwriting skills

Requirements
Academic Qualifications

• Diploma in Nursing.
• Degree in Nursing will be an added advantage

Professional Qualifications:

• COP will have an added advantage.

Relevant Work Experience

• At least 2 years working experience in a medical facility

Skills/ Knowledge

• Excellent verbal communication
• Expertise and experience in medical insurance
• IT  Skills
• Update with the current trends on cost of the different service providers
• Good knowledge of medical  insurance and products
• Knowledge in new trends, diseases and new treatments (vaccines) in the region
• Excellent customer service skills

If you meet the above requirements and consider yourself up to the challenge, please email your application and a copy of your CV clearly indicating on the subject of your email the job Ref No.

 For example: Ref : Application for Assistant Claims Analyst-Medical Position to:

The Group Human Resources Manager
CIC Insurance Group Ltd
Strictly through Email to: recruitment@cic.co.ke

The application should reach us by close of business on 26th April 2013. 

Please note only shortlisted candidate will be contacted. 

If you do not hear from us by 15th May 2013consider your application unsuccessful.