Claims Assistant at Britam

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.