Junior Quality Assurance Officer at Jubilee Insurance

Ref No: HRJIC394

We are currently have an exciting career opportunity for a Junior Quality Assurance Officer reporting to the Assistant Quality Assurance Manager, with the position being based in Nairobi

Role Purpose

Under general supervision, the Assistant Quality Assurance Analyst is responsible for performing intermediate and daily quality assurance reviews to ensure and report on the accuracy of claims processing end-to-end and other key business processes

Responsibilities

• Randomly audit claim transactions, including high value, declines and duplicate claims
• Determine error sources and accurate entry of registered and approved claims
• Ensure pricing arrangements have been applied accurately
• Attend and actively participate in Quality Assurance Team meetings
• Analyze claims supporting documents to establish liability
• Monitor and ensure that the key interfaces adhere to the set claims handling standards and escalate non adherence to the management

Key Competencies

• Detail-oriented with problem-solving abilities structural and conceptual thinking
• Ability to handle detailed tasks and work with varying types of data
• Ability to maintain confidentiality
• A team player willing to learn, apply and improve QA best practices consistently

Qualifications

• Diploma or Bachelor’s Degree in any Health care related field
• Professional qualification in Insurance (ACII, AIIK) is an added advantage

Relevant Experience

• Knowledge of medical insurance claims processes and procedures
• Knowledge, experience in the insurance concepts & regulatory requirements