Claims Registrar at Jubilee Insurance

Role Purpose

The Claims Registrar will be responsible for the efficient assessment and registration of claims in strict adherence to established standards, policies, and procedures. The role requires a keen eye for detail, ensuring accuracy and compliance throughout the claims process. The role holder will be expected to maintain a high level of productivity by consistently meeting daily targets, demonstrating both efficiency and reliability in delivering quality service.

Main Responsibilities

Operational

• Verify member, scheme, and provider information by thoroughly reviewing and confirming accuracy before data entry to ensure seamless claims processing
• Capture claim details accurately into the system from claim documents, minimizing errors and maintaining data integrity
• Systematically categorize and index claims using the Invoice ID for easy retrieval and streamlined processing
• Identify and flag claims requiring rescanning due to poor legibility, ensuring all records are clear and complete for assessment
• Engage experienced staff for guidance and clarification on complex cases, ensuring claims are processed correctly and efficiently
• Assess the validity of services provided by verifying treatment details, benefit coverage, provider panel adherence, and treatment costs to uphold compliance and prevent discrepancies
• Utilize the Notes function to alert approvers of any irregularities or notable observations during the registration process, enhancing transparency and decision-making

Corporate Governance

• Ensure strict adherence to industry regulations, insurance claims protocols, and corporate policies