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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...
Posted By Skills geograph... / 01 Apr 2021

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