Medical Administrators Clinical Officer – Claim Analysts Jobs in Kenya
Medical Administrators Clinical Officer – Claim Analysts Jobs in Kenya
Principle Role A clinical officer who will be able to apply their medical expertise in Medical insurance claims processing
Key Responsibilities and Deliverables:
Responding to pending issues from service providers.
Ensuring set targets are met and TAT observed and achieved.
Vetting and processing of reimbursements.
Process Company’s response to claims/Preauth
Monitoring inventory records.
Coordination of claims/Preauth processing.
Follow up with providers for bills, discrepancies in bills and other information that is holding up processing.
Respond to client enquiries on claims through e-mail, phone or directly.
Resolve problems related to claims/preauth by liaising with Medical service Providers panel.
Clinical officer has to be well equipped with the latest trends and technologies used.
Expert in drafting the process in and out.
Smart in tackling various types of clients.
Supervising the educational material provided to patients by clinical officer.
Evaluating the Preparation and delivery of claims presentations by clinical officer.
Provide cover for colleagues in their absence, ensuring that the handling of their Preauth/claims is kept up to date.
Liaising with other healthcare personnel for efficient delivery of patient care.
Responding to mails, calls, and medical related queries on social media platform.
Any other duties as may be assigned.
Qualifications
and Experience
Minimum Qualifications and Experience Requirements
Diploma clinical medicine and surgery.
Registered and licensed by the relevant medical body.
Minimum of 3 years of experience in relevant medical field
Experience in the Health Insurance industry will provide an added advantage
Ability to solve practical problems and deal with a variety of concrete variables in situations where only limited standardization exists.
Knowledge and experience in reading, analyzing, and interpreting reports and support procedures.
Proficiency in MS Office - specifically Excel, Access, Word, PowerPoint.
Ability to effectively present information and respond to questions from management, peers and customers.
Self-driven, customer centric , team player and good communication Skills
Willingness to go the extra mile.
How to Apply
Please submit your updated CV with a cover letter via email to
recruitment@makl.co.ke for review on future positions.
Find jobs in Kenya. Jobs - Kenya jobs. Search our career portal & find the latest Kenyan job positions, career opportunities & jobs in Kenya.
Jobs in Kenya - banking jobs, IT jobs, accounting jobs, NGO jobs, business administration, ICT, UN jobs, procurement jobs, education jobs, hospital jobs, human resources jobs, engineering, teaching jobs, and other careers in Kenya.
Find your dream job from 1000s of vacancies in Kenya posted and updated daily - click here!
Click here to post comments
Join in and write your own page! It's easy to do. How? Simply click here to return to NGO Jobs in Africa.
