Position: Claims Administrator
Applications are invited from suitably qualified and experienced persons to fill the following position tenable at our Blantyre office.
|
Job title |
Claims Administrator – Indexing and reconciliations |
|
Reports To (Designation) |
Key Provider Relationship Manager |
|
Purpose of the Job |
To ensure that all electronic and paper claims and correspondence in the business are tracked, indexed, and routed timeously to all levels within the organization, for both internal and external stakeholders. |
|
Key Responsibilities |
• To ensure all claims are prepared in accordance with departmental standards, to ensure that claims are processed, tracked, and paid correctly
• To ensure that all claims have valid member/provider details and are placed in batches with matching CSR numbers.
• To scan and index all claims and correspondence batches and route to the relevant departments.
• To ensure that all enquiries from both internal and external customers are investigated and resolved within SLA and to provide either written or verbal feedback to the relevant stakeholders and colleagues.
• To compile reports using excel based on claims received, amounts claimed by providers, indexed, and paid.
• To verify member and provider details, source outstanding information, to enable the accuracy and swift processing of claims.
• To liaise with providers confirming cover and benefits where necessary.
• To index, track claim batched and CSR `s posted and ensure all claims are settled correctly
• Instant reporting of anomalies identified for investigation and correction
|
|
Qualifications |
• Certificate in Accounting/equivalent
• Diploma in accounting will be an added advantage
|
|
Experience |
• At least 2 years’ experience in claims assessing/capturing in health or insurance industry
• 2 years’ experience in data capturing/general administration in health or insurance will be an added advantage
|
|
Knowledge |
• Understanding of health insurance/medical aid
• Understanding of tariff guides and product rules (medical tariff structure)
• Operating system
• Risk Awareness
|
|
Competencies |
• Computer Literacy (basic) and MS Office
• Excellent written and verbal communication skills
• Root cause analysis and problem solving
• Analytical thinking and attention to detail
• Adapting and responding to Change
• Adhering to principles and values
• Creative and innovative
• Networking/ good interpersonal skills
• Delivering results and meeting customer expectations
• Learning and researching
• Deciding and initiating action
• Planning & organizing
|
Interested applicants must download and fill in the application form on the link below and submit to the following address together with copies of their certificates: –
The Human Resources Officer
Libertas General Insurance Company Ltd
P O Box 354
Unit House, Ground floor
Blantyre
Email: recruitment@libertas.co.mw
Closing date for receiving applications is 13th September 2022
Only shortlisted candidates will be contacted.
Libertas General Insurance Company Limited is an equal opportunity employer