Employee Medical Claims Officer

Not specified

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 in a similar role
Experience handling employee medical claims
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

Apply via :

https://www.myjobmag.com/job/103906/employee-medical-claims-officer