Claims & Membership Supervisor – Operations Department

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Claims & Membership Supervisor - Operations Department

  • Post Date:August 3, 2021
  • Views 561
0 Applications
  • Career Level Other
    Qualification Diploma
    Experience 5-10 Years
  • Industry Health Care
Job Description

An exciting and challenging opportunity of Claims & Membership Supervisor – Operations Department has arisen within First Mutual Health Company, a subsidiary of First Mutual Holdings Limited. Applications are invited from suitably qualified and experienced persons to fill the above vacancy.

Job Specification

  • Developing Claims process workflow, work schedules and procedures
  • Checking for possible fraudulent claims from existing claims set.
  • Recommending claims benefit reviews quarterly for cluster.
  • Administering the account reconciliation of the membership book.
  • Conducting quality control on captured membership data
  • Coordination of Project activities for the cluster.
  • Query Resolution to both clients and service providers

Person Specification

  • Diploma in Nursing/ relevant
  • Must have an appreciation of Portuguese Language
  • An administration certificate will be an added advantage
  • 5 years’ experience in a similar or related environment with 1-year experience in a supervisory role.
  • Ability to work in a team environment and supervise a small team
  • Results Oriented
  • Ability to work under pressure
  • High standard of accuracy with attention to detail
  • Ability to recognise potential risks to the Department A

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:
[email protected]

Applications should be sent by not later than 4 August 2021., by 12 noon.