Offre fiable
Medical Claims Analyst
Kenindia Assurance Company Limited
Nairobi, Kenya
CDI
Publiée il y a 1 mois · Expire dans 3 semaines
Description du poste
An established company is recruiting for the following position.
JOB PURPOSE
- Analyzing of medical claims and to ensure the smooth flow of work in line with the departmental requirements to achieve overall business objectives.
- Ensuring daily recording of incoming medical bills.
- Receiving claims and checking corresponding policies in line with the claim.
- Reconciliation of Medical service providers accounts.
- Registration of claims and reserving adequate estimates.
- Ensuring the ailment is covered under the policy.
- Ensuring the treatment and the drugs dispensed are in line.
- Ensuring the with-holding Tax by Doctors’ is complied with before cheque dispatch.
- Ensuring the appointment of investigators for authenticity of questionable claims.
- Ensuring the facility is registered within the medical practitioners and dentists board.
- Preparing claim notes for vetting by the medical personal and approval/comments by the HOD.
- Ensuring dispatch of discharge voucher to the client and communicating by writing on the liability.
- Ensuring claims are settled within approved company guidelines
- Ensuring proper dispatch of settlement cheques.
- Ensuring that the files are sent back to the filling room.
- Reconciling of claim statements from stakeholders for correct position of their accounts
- Preparing remittances for any Medical claims cheques before dispatch.
- Ensuring proper records of outgoing settlement cheques to various stakeholders.
- Ensuring service providers meet agreed service timeline.
- Ensuring customers service to both internal and external
- And any other duties assigned
- Undergraduate Degree in any Related Field
- AIIK
- CPA
- At least 2 years of relevant experience
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