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Position: MEDICAL CLAIMS ADMINISTRATION ASSISTANT -URGENT (FOR A LEADING MEDICAL INSURANCE BROKERAGE COMPANY) -READVERTISED
Employer: A LEADING MEDICAL INSURANCE BROKERAGE COMPANY
Ref No: SGK-MCAA-03-2021
Industry: INSURANCE
Job Category: SUPERVISORY
Town: NAIROBI
Country: KENYA
Requirements: DIPLOMA IN NURSING/CLINICAL TRAINING. PROFICIENCY IN COMPUTER SKILLS.
Experience: AT LEAST 2 YEARS WORKING EXPERIENCE HANDLING MEDICAL INSURANCE CLAIMS IN A BUSY MEDICAL INSURANCE COMPANY. ONLY CANDIDATES WITH MEDICAL/NURSING BACKGROUND WILL BE CONSIDERED.
Salary: KSHS. 50,000 - 80,000 PLUS COMPANY BENEFITS
Duties: MEDICAL CLAIMS ADMINISTRATION ASSISTANT WILL PERFORM THE FOLLOWING DUTIES:- RECEIVE AND INSPECT MEDICAL CLAIMS TO ENSURE THE REQUIRED CLAIMS DETAILS ARE PROVIDED. DETERMINE ELIGIBILITY OF CLAIM USING THE PROVIDED POLICIES AND GUIDELINES. OBTAIN ADDITIONAL AND SUPPORTING CLAIMS DOCUMENTS. SUBMIT MEMBER AND PROVIDER CLAIMS ON NAVISION. ROUTINE FOLLOW UP ON THE PROGRESS OF THE CLAIMS. MAINTAIN A RECORD OF CLAIMS DETAILS AND SETTLEMENTS. MANAGE DISPATCH CLAIMS SETTLEMENT ADVICES. GENERATE CLAIM REPORTS AS REQUESTED BY PROVIDERS, CLIENTS OR THE MANAGEMENT. RESPOND TO CLAIMS CORRESPONDENCE RECEIVED FROM INSURERS, CLIENTS, PROVIDERS AND BROKERS. RECONCILE PROVIDERS MONTHLY STATEMENTS.
Job Details
| Level | : | Mid level |
| Industry | : | Insurance |
| Salary | : | Ksh 60,000 - 75,000 |
| Experience | : | 2 Years |
| Applications | : | 6 |
| Locality | : | Nairobi, Kenya |
| Eligibility | : | Bachelor |
| Company | : | Skills geograph... |