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  • Posted: Nov 13, 2019
    Deadline: Not specified
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    CIC Insurance Group Limited, commonly referred to as CIC Group, is an insurance and investment group that operates mainly in Kenya, Uganda, South Sudan and Malawi
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    Claims Vetting Officer

    PURPOSE:

    Responsible for vetting both in/ outpatient medical claims for payment.

    PRIMARY RESPONSIBILITIES:

    • Vet in/outpatient medical bills/invoices and refer any suspicious claims to the supervisor;
    • Batch outpatient invoices on the system and adjust amount payable as per the vetting findings;
    • Check and reject incomplete invoices and return with supporting documents to service providers;
    • Negotiate, adjust and update service providers on their cost and accounts status;
    • Reconcile statements of accounts for service providers; advising accounts and service providers on unpaid/underpaid bills;
    • Review claims reserves on a continuous basis in view of new developments;
    • Attend to customer queries and complaints promptly and professionally and
    • Recommend risk improvement measures to the underwriter to take appropriate action.

    PERSON SPECIFICATIONS

    Academic Qualifications

    • Bachelor’s degree in a related field or a Diploma in Nursing / Diploma in Clinical Medicine

    Professional Qualifications

    • Kenya Registered Nursing (KRN) Diploma – Required

    Experience

    • Up to three (3) years’ relevant experience

    Skills and Attributes

    • Problem solving skills;
    • Good analytical skills;
    • Computer literate in MS Office and other office applications;
    • Understanding of the working environment /competitors;
    • Technical competence in insurance;
    • Basic knowledge of regulations by AKI and IRA;

    Method of Application

    Shortlisted candidates will be required to submit the following documents: Valid Certificate of Good Conduct from the Directorate of Criminal Investigations; Clearance Certificate from the Higher Education Loans Board; Latest Tax Compliance Certificate from the Kenya Revenue Authority; Certified copy of duly completed First Schedule (S.13) Self Declaration form from Ethics and Anti-Corruption Commission (EACC); and Report from an Approved Credit Reference Bureau.

    To be considered, your application must be received not later than 27 November 2019 addressed to the contact provided below. Only shortlisted candidates will be contacted.

     

    Interested and qualified? Go to CIC Insurance on cic.co.ke to apply

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