Job Purpose
The role will report to the Supervisor Medical Claims. The holder will be responsible for assist in processing and payment of claims. Preferred candidate Rwandase national
Key Responsibilities
Review documents and pertinent requirements regarding an insurance claim
Ensure that the insurance claim made by the claimant is complete in form and complies with the documentary requirements of an insurance claim
Advice claimants regarding basic matters about their insurance coverage in relation to the insurance claim
Respond to both internal and external claims inquiries concerning benefits, claims process, service providers, and the filing/completion of proper forms
Record all claims transactions
Prepare claims registers for claims meetings and update the various claims reports
Prepare initial claim letter and mail to insured, along with appropriate forms for completion
Track and follow up on receipt of necessary forms
Perform any other duties as may be assigned from time to time
Working Relationships – Internal & External
Accountable to the Supervisor, Medical Claims
Required to liaise and work closely with the other departments as may be necessary
Clients
Service providers
Knowledge, Experience And Qualifications Required
Diploma in Nursing
Basic understanding of insurance concepts
One year experience in claims processing
Technical Competencies
Knowledge of insurance industry and concepts
Knowledge of medical claims processes and procedures
Knowledge of insurance regulatory requirements
Essential Competencies
Learning and Researching : Rapidly learns new tasks and commits information to memory quickly; demonstrates an immediate understanding of newly presented information; gathers comprehensive information to support decision making at management level; learns from successes and failures and seeks colleague and customer feedback.
Working with People: Shows respect for the views and contributions of other team members; shows empathy; listens, supports and cares for others; consults others and shares information and expertise with them; builds team spirit and reconciles conflict; adapts to the team and fits in well.
Applying Expertise and Technology: Applies specialist and technical expertise; uses technology to achieve work objectives; develops job knowledge and expertise (theoretical and practical) through continual professional development; demonstrates an understanding of different organisational departments and functions.
Delivering Results and Meeting Customer Expectations: Focuses on customer needs and satisfaction; exhibits high standards for quality and quantity; monitors and maintains own quality and productivity; works in a systematic, methodical and orderly way; consistently achieves projects goals.
Following Instructions and Procedures: Follows procedures and policies; keeps to schedules; arrives punctually for work and meetings; demonstrates commitment to the organisation; complies with legal obligations and safety requirements of the role.
Adhering to Principles and Values: Upholds ethics and values; demonstrates integrity; accepts diversity; display individual responsibility towards the community and the environment; models the organisational values during every day interactions.
go to method of application »

Use the link(s) below to apply on company website.  

Apply via :