Friday 17 April 2020

Medical Claims Clerk (Contract) at CIC Insurance

PURPOSE:

Responsible for receiving and processing claims for provider payment.

PRIMARY RESPONSIBILITIES:

  • Receive of claims- all claims received are well stamped and keyed in for future reference.
  • Dispatch received invoices, mails and claim books to respective sections
  • Respond to walk in customer enquiries
  • Process, capture and authorize batched claims
  • Scan prepared vouchers and reference to Document Management System
  • Upload, attach and index relevant documents to vouchers to Document Management System
  • Dispose claim documents as per approved disposal procedure.
  • Attend to customer and service providers ‘queries and complaints promptly and professionally.
  • Follow up on registration and reconciliation of provider statements to ensure closure.
  • Follow through to ensure all claims with issues at registration level for the allocated service providers have been addressed or escalated to the supervisor.

PERSON SPECIFICATIONS

Academic Qualifications

  • Diploma in relevant field / Relevant technical training certificate / part qualification in relevant professional field

Experience

  • Up to one (1) years’ relevant experience

Skills and Attributes

  • Excellent communication and presentation skills
  • Problem solving skills
  • Excellent interpersonal skills
  • Excellent customer care skills
  • Good analytical skills
  • Computer literate in MS Office and other office applications

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