Jobs at Apollo Life Assurance

This role is responsible for correct and timely payments, bank agency duties, bank reconciliations and/or receipting function.

KEY PRIMARY RESPONSIBILITIES

• Processing approved payments including claims and expenses which involves receiving, recording, and sorting invoices and other payment requisitions and disburse through cash, cheques, and EFTs
• Payment of claims through cheque or electronic means
• Management of all types of cheque documentation
• Obtaining sign off cheques and prompting dispatch to relevant recipients
• Petty cash management which involves disbursing approved expenses or advances and replenishment
• Reconciliation of Provider account statements on regular basis as defined
• Records management
• Answering Client queries through email, phone or directly

ACADEMIC QUALIFICATIONS

• Relevant University Degree

JOB SKILLS AND REQUIREMENTS

• Analytical skills
• Numerical skills
• Communication and Interpersonal skills

PROFESSIONAL QUALIFICATIONS

• CPA/ACCA

EXPERIENCE

• At least 1 year relevant experience

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The person will be responsible primarily for vetting medical claims for processing into the Health system, identify conditions, procedures and rejection that will facilitate fast processing of claims. Identify claims that do not meet the criteria of APA policy, procedures and medical norms. Responsible for ensuring quality and accuracy of claims processed while maintaining the TAT and production levels necessary for provider and Client satisfaction.

KEY PRIMARY RESPONSIBILITIES

• Coordination and adjudication of all claims received
• Vetting of claims in line with APA policy, procedures, and benefits to ensure accuracy of processing and TAT
• Processing of claims, as required, to ensure that production levels  and TAT are met
• Negotiation where necessary of  professional fees and charges, including discounts, to control costs
• Monitoring, preventing, and highlighting medical claims fraud through regular claim audits and reporting
• Follow up with providers for bills, discrepancies in bills, and other information that is holding up processing
• Answering client inquiries on claims through e-mail, phone, or directly
• Reconciliation of provider accounts
• Filing of Claims processed as required

ACADEMIC QUALIFICATIONS

• Degree holder and/or Diploma in Insurance, Health management , Nursing or other health-related fields

JOB SKILLS AND REQUIREMENTS

• Integrity and honesty
• Able to manage tight deadlines
• Attention to detail and to following processes
• Excellent written and spoken communication skills
• Skill in Computer use and reporting
• Willingness to train and share knowledge with others
• Willingness to work on weekends when required

PROFESSIONAL QUALIFICATIONS

• Relevant professional qualification

EXPERIENCE

• At least 1 year’s experience in Health claim processing in a busy environment and/or at least 1 year’s experience  in a medical field

go to method of application »

The person is expected to identify claims that do not meet the criteria of APA policy, procedures and medical norms. The person will be responsible for ensuring the quality and accuracy of claims processed while maintaining the TAT and production levels necessary for provider and client satisfaction

KEY PRIMARY RESPONSIBILITIES

• Coordination and adjudication of all claims received
• Monitoring, preventing and highlighting medical claims fraud through regular claim audits and reporting
• Follow up with providers for bills, discrepancies in bills and other information that is holding up processing
• Answering client enquiries on claims through e-mail, phone or directly
• Filing of Claims processed
• Confirming number and amount of invoices received then batching in readiness for processing
• Maintaining feedback with the internal and external clients on claims and membership issue
• Scanning and indexing of claim documents
• Batching and separating documents in readiness for scanning and processing
• Filing and archiving documents for easy retrieval
• Receiving and acknowledging claims documents

ACADEMIC QUALIFICATIONS

• Relevant University Degree

JOB SKILLS AND REQUIREMENTS

• Integrity and honesty
• Able to manage tight deadlines
• Pay attention to detail and to following processes
• Excellent written and spoken communication skills
• Proficient in Microsoft Office
• Willingness to work weekends when required

PROFESSIONAL QUALIFICATIONS

• Diploma/Certificate in insurance is an added advantage

EXPERIENCE

• Relevant experience in Health claim processing in a busy environment 

go to method of application »

The person is expected to identify claims that do not meet the criteria of APA policy, procedures, and medical norms to ensure the quality and accuracy of claims processed while maintaining the TAT and production levels necessary for provider and client satisfaction. He/ she will also be responsible for vetting medical claims for processing into the Health system, identifying conditions, procedures, and rejection that will facilitate fast processing of claims.

KEY PRIMARY RESPONSIBILITIES

• Coordination and adjudication of all claims received
• Monitoring, preventing, and highlighting medical claims fraud through regular claim audits and reporting
• Follow up with providers for bills, discrepancies in bills, and other information that is holding up processing
• Vetting of claims in line with APA policy, procedures, and benefits to ensure accuracy of processing and TAT.
• Processing of claims, as required, to ensure that production levels  and TAT are met
• Negotiation where necessary of professional fees and charges, including discounts, to control costs
• Reconciliation of provider accounts
• Answering client inquiries on claims through e-mail, phone or directly

ACADEMIC QUALIFICATIONS

• Degree holder and/or Diploma in Insurance, Health management, Nursing, or other health-related fields

JOB SKILLS AND REQUIREMENTS

• Integrity and honesty
• Able to manage tight deadlines
• Attention to detail and to following processes
• Excellent written and spoken communication skills
• Proficient in Microsoft Office
• Willingness to train and share knowledge with others
• Willingness to work weekends when required

PROFESSIONAL QUALIFICATIONS

• Diploma/Certificate in insurance is an added advantage

EXPERIENCE

• At least 1 years’ experience in Health claim processing in a busy environment