Medical Claims Clerk (Contract) at CIC Insurance

PURPOSE:

Responsible for receiving and processing claims for provider payment.

PRIMARY RESPONSIBILITIES:

• Receive of claims- all claims received are well stamped and keyed in for future reference.
• Dispatch received invoices, mails and claim books to respective sections
• Respond to walk in customer enquiries
• Process, capture and authorize batched claims
• Scan prepared vouchers and reference to Document Management System
• Upload, attach and index relevant documents to vouchers to Document Management System
• Dispose claim documents as per approved disposal procedure.
• Attend to customer and service providers ‘queries and complaints promptly and professionally.
• Follow up on registration and reconciliation of provider statements to ensure closure.
• Follow through to ensure all claims with issues at registration level for the allocated service providers have been addressed or escalated to the supervisor.

PERSON SPECIFICATIONS

Academic Qualifications

• Diploma in relevant field / Relevant technical training certificate / part qualification in relevant professional field

Experience

• Up to one (1) years’ relevant experience

Skills and Attributes

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