Claims Assistant – Medical at CIC Insurance

PURPOSE:

Responsible for receiving and processing claims for provider payment.

PRIMARY RESPONSIBILITIES:

• Ensure that all claims received are well stamped and keyed in for future reference
• Dispatch received invoices, mails and claim books to respective sections
• Dispatch claim forms and other relevant documents to providers
• Confirm that smart claims have been billed correctly
• Prepare valid claims for scanning
• Upload, attach and index relevant documents to Document Management System
• Facilitate discarding of scanned claim documents as per the approved disposal procedure
• Registration of medical claims in the system
• Follow up on registration and reconciliation of provider statements to ensure closure.
• Follow through to ensure all claims with issues at registration level have been addressed or escalated to the supervisor for action
• Respond to walk in customer enquiries
• Attend to customer and service providers’ queries and complaints promptly and professionally

Academic Qualifications

• Bachelor’s degree in Commerce or in a related field

Experience

• Up to one (1) year relevant experience

Skills and Attributes

• Good analytical skills
• Excellent communication and presentation skills
• Problem solving skills
• Excellent interpersonal skills
• Computer literate in MS Office and other office applications