KEY PRIMARY RESPONSIBILITIES

Claim Documentation: Assist in the collection and verification of claim documents, ensuring that all required information is complete and accurate.
Confirmation of membership, validity, and benefits before processing claims.
Data Entry: Enter claim data into the company's claims management system, maintaining the integrity and confidentiality of sensitive information.
Record Keeping: Maintain organized records of claims, correspondence, and documentation to ensure easy retrieval and audit compliance.
Claim Verification: Collaborate with claims assessors to verify claim details and support the investigation process.
Customer Service: Offer exceptional customer service by addressing claimant inquiries and concerns professionally and empathetically.
Compliance: Ensure compliance with industry regulations, company policies, and ethical standards in all claim-processing activities.

ACADEMIC QUALIFICATIONS

Diploma / Degree in any related field

JOB SKILLS AND REQUIREMENTS

Computer literate 
Decision-making, Planning, and organization skills
Good Communication and interpersonal skills
Good analytical skills and keen on details

PROFESSIONAL QUALIFICATIONS

Insurance certificate/diploma

EXPERIENCE

At least 1 year in health claims processing in a large busy organisation.
  • Insurance