First Mutual Holdings Limited

Claims Assessor Call Centre x 2

Nursing Jobs
Salary
Negotiable

Job Description

Claims Assessor Call Centre (1 Contract & 1 Permanent)
An exciting and challenging opportunity has arisen within First Mutual Health Company and applications are invited from suitably qualified and experienced persons to fill this vacancy.

The Job
Reporting to the Claims Supervisor, the successful candidate will be responsible for the following:

Duties and Responsibilities

• Answering inbound calls, responds to emails and assists customers in their claims inquiries promptly.
• Handle complaints, answer queries and provide support and general information.
• Providing customers with accurate product and service information in an efficient manner.
• Screening and processing of claims for members adhering to turn-around times.
• Communicating the claims process to both employer and employees as set out in the claim's management process.
• Dealing with all customers in a professional and empathetic manner.
• Pre-assessing claims received to ensure compliance with the normal schedule of benefits.
• Attending to members' and providers on service queries as well as advising members on rules and benefits; liaises with other.

Qualifications and Experience

The Person
The ideal candidate must possess the following:
• Diploma in Nursing.
• 2 years' experience in a similar or related environment.
• Knowledge of business policies, processes and procedures, legal compliance and claims environment.
• Ability to work in a team environment and supervise a small team.
• Ability to work under pressure.
• Tech savvy and computer literate
• High standard of accuracy with attention to detail.

How to Apply

Candidates meeting the above criteria should forward their Curriculum Vitaes (CVs), copies of certificates and Application letters to Group Human Resources via the following email address: careers@firstmutualholdings.com Applications should be sent by and not later than 06 October 2020.
N.B CLEARLY LABEL THE POSITION YOU APPLYING FOR IN THE SUBJECT LINE.