Resolution Insurance Job Vacancy.
Claims Adjudicator
Resolution
Insurance Company Ltd is a general insurer offering innovative and responsive
insurance solutions.
We have
learned to adapt in this constantly changing society, and develop comprehensive
products that are relevant to our clients.
We
currently have over 60,000 members in our fold and have partnered with over 500
medical service providers across East Africa; a strong network of hospitals,
clinics and doctors.
The Resolution Insurance brand is energetic and trendy.
In pursuit
of our ambitious growth plan, we are looking to fill the below position in our
Medical Operations Department, Claims Section.
Claims Adjudicator
Reporting
to the Assistant Claims Manager, the Claims Adjudicator’s purpose is to ensure
that claims are processed correctly and identify overcharged / fraudulent
claims in order to save the company money.
Key
Responsibility Areas:
1) Receive and analyze claims for
processing
2) Vet and
adjudicate claims for payment
3) Resolve
and reconcile problems related to claims, by liaising with the providers
4)
Escalation of non-resolved issues to MSP relations within 7 days of initial
contact with MSP
5) Prepare
the relevant departmental reports
6)
Communicate with clients or MSPs regarding claims.
Qualifications and Experience:
Essential:
- Diploma in a clinical medicine or Nursing.
- KRCHN or KRN/M Certification.
- At least 3 years relevant experience in health management.
Desirable
- In-depth knowledge of health management
- Computer skills including knowledge of Microsoft Office.
If you
believe you are a team player and would be a valuable resource to this ever
growing brand, kindly CLICK
HERE to apply
online by COB, Wednesday, 27th May 2015.
Disclaimer
The Owners of this website (http://mykenyajobsvacancies.blogspot.com)
are not connected in any way whatsoever to the Companies advertising for the
above Jobs.
Onus is upon the individual (website
visitor) to clarify the veracity or otherwise of each advertisement before
making an application
No comments:
Post a Comment