Skills

Medical Claims Administration Assistant

Job Summary

Applications are invited from qualified persons for the above vacant position.

  • Minimum Qualification: Diploma
  • Experience Level: Mid level
  • Experience Length: 2 years

Job Description/Requirements

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-09-2021
Industry: INSURANCE
Job Category: SUPERVISORY
Town:      NAIROBI
Country:  KENYA

Requirements:     
•    Diploma in nursing/clinical training.
•    Proficiency in computer skills.
•    Only candidates with medical/nursing background will be considered.

Experience:  At least 2 years working experience handling medical insurance claims in a busy medical insurance company.
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.

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