Claims Assessor x 3
Nursing Jobs
- First Mutual Holdings Limited
- Expires 06 Oct 2020
- Bulawayo
- Full Time
Job Description
Claims Assessor (2 Permanent & 1 Contract)
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
• Verifying, validating, adjudicating and batching of claims.
• Initiating recovery process on identified fraudulent claims.
• Checking for possible fraudulent claims from existing claims set.
• Reversing and reprocessing claims emanating from queries.
• Verifying and Adjudicating claims captured for correctness and compliance.
• Reviewing and managing claims in line with targets, processes and within agreed timelines.
• Adjudicating claims manually flagged in the system at various levels.
• Attending to enquiries on benefits and products to members, prospective clients and service provider.
• Providing customers with accurate product and service information in an efficient manner.
• Dealing with all customers in a professional and empathetic manner.
• Communicating the claims process to both employer and employees as set out in the claim's management process.
Qualifications and Experience
The Person
The ideal candidate most 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.
• Advanced Excel Skills.
• 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. Talent Acquisition Team
