KCB Bank Bancassurance - Bank Officer Medical Claims Analyst Jobs in Kenya

KCB Bank Bancassurance - Bank Officer Medical Claims Analyst Jobs in Kenya

Duties

1. Process claims: Verify and analyzing medical claims as per scheme scope of cover whilst ensuring strict adherence to set guidelines and timelines.

2. Manage Costs: Negotiate rates and discounts and monitor trends

3. Reconcile claims: Ensure claims are paid on time and reconcile with estimates

4. Follow up on claims: Ensure claims are reimbursed on time, and follow up on outstanding claims

5. Maintain records: keep records of claims related documents and payment vouchers and provide information to finance department

6. Reports: preparation of utilization reports and other reports as required by member / client

7. Communicate with providers: Resolve issues, clarify billing and share information

8. Claim cost: management through enforcement of agreed tariffs, monitoring claims trend and conducting utilization review

9. Compliance - Ensure legal compliance of medical claims data in accordance with the Data Protection Act and any other legislative guidelines.

10. Relationship: Maintain strong working relationship with service providers, Insurance company partners, customers and business stakeholders

Education Bachelor’s Degree Bachelor of science in healthcare related field RQ

Professional Qualifications Certificate of proficiency in Insurance - COP AA

Master’s Degree Health management OR a Business-Related Field AA

Minimum1


How to Apply

For more information and job application details, see; KCB Bank Bancassurance - Bank Officer Medical Claims Analyst Jobs in Kenya

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