Assistant Claims Analyst - Medical at CIC Group

PURPOSE:

To achieve customer satisfaction through efficient and prompt claims settlement.

PRIMARY RESPONSIBILITIES:

• Supervision of claim registration roles.
• Process all service providers invoices and payment within the set standards;
• Prepare various claims analysis reports for clients and management consumption.
• Attend to customer and service providers ‘queries and complaints promptly and professionally.
• Process fully documented claims and referring any suspicious claims to the supervisor.
• Initiate reinsurance and third party recoveries (written demand letters);
• Review claims reserves on a continuous basis in view of new developments and to close files where all payments have been made.
• Communicate risk improvement measures to the underwriter to take appropriate action.
• Follow up on registration and reconciliation of provider statements to ensure closure.
• Ensure continuous improvement of claims processes and technology advancement to ensure efficiency.
• Follow through to ensure all claims with issues at registration level have been addressed or escalated to the supervisor.

PERSON SPECIFICATIONS

Academic Qualifications

• Bachelor’s Degree in business or Insurance or in a relevant field

Professional Qualifications

• Part qualification in relevant professional field in IIK or ACII

Experience

• Up to two (2) years’ relevant experience

Skills and Attributes

• Excellent communication and presentation skills
• Problem solving skills
• Excellent interpersonal 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

If you have the aforementioned professional and academic qualifications and you are ready to execute the above mandate, kindly send your resume through link below indicating on the Title of the Job.