To support the Head of Medical Claims in the Medical Department by providing operational support in the Medical Department processes. To process and settle insurance claims in a fast, fair and courteous manner to ensure customer satisfaction, company profitability and good corporate image
| Key Responsibilities. | ||||||||||
| Claims vetting and approval (90%) | ||||||||||
| · Receiving and registering incoming claims | ||||||||||
| · Claims adjudication | ||||||||||
| · Analysing all patients’ claims (In terms of completeness and validity) and processing them for payment | ||||||||||
| · Examining and confirming member benefits, entitlements and exclusions | ||||||||||
| · Preparing member statements (on request) for clients regarding their policy benefit utilisation status | ||||||||||
| · Preparing payment remittances and credit notes where applicable | ||||||||||
| · Liaising with providers where there queries on the claims submitted | ||||||||||
| Customer service, provider negotiations and reconciliation (10%) | ||||||||||
| · Handling customer queries (walk-in, phone & e-mail) in regards to claims and payments | ||||||||||
| · Assist in reconciliation and attending reconciliation meetings with the providers | ||||||||||
| · Review of provider’s charges and negotiating for better rates | ||||||||||
The post Barclays Africa Job Vacancy : Senior Claims Officer- Pharmtech appeared first on Jobs in Kenya - http://jobwebkenya.com/.
The post Barclays Africa Job Vacancy : Senior Claims Officer- Pharmtech is republished from Jobs – Jobs in Kenya – http://jobwebkenya.com/
