JOBS IN ZAMBIA - DAILY ZAMBIA JOBS

Tuesday, March 15, 2016

DATA ENTRY CLERK – CLAIMS



Madison Life Insurance Company Limited invites applications from suitably qualified and experienced individuals to fill in the following position in the newly established Health & Travel Insurance Division:
Data Entry Clerk – Claims (two positions)
Reporting to the Manager – Claims the purpose and role of Data Entry Clerk – Claims are as follows:
Data entry and vetting for completeness of claims:
  • Having knowledge and understanding of computer and the current insurance system in use, minimum requirement for a fully documented claim, claim protocols and procedures, and Mlife health insurance products, you will be expected to generally vet all claims which are not properly documented or have missing vital information so as to minimize claims with errors going to the Claims
Administrator/Claims Manager for approval;
  • To capture/enter pre-determined number of claims per day so as to ensure timely settlement of all eligible medical claims within agreed service Level agreements (SLA) with health care providers and clients.
  • To ensure that Health Care Providers are informed in time of the incomplete and rejected claims, so as to avoid unnecessary disruptions in services due to non-payment of such claims.
  • To verify totals on the received invoices and inform Health Care Providers by mail of any differences.
  • Report immediately any claim invoice with more than 10% rejected bills of the total bill to Claims Manager
Claim settlements and reconciliations
  • You will be responsible for posting Requisitions for payment within 24 hours of receiving approved bill from Claims Administrator /Claims Manager; follow up of all payments with the accounts dept and ensure that they are settled within SLA with providers and clients; send claim settlement advice to the health care providers within 48 hours of receiving confirmation of transfer or cheque payment
  • To reconcile all payments with health care providers within 60 days of receiving settlement cheque/transfer advice; health care providers are required to re-submit suspended claims requiring additional/missing information within 30 days of advice and you will be required to ensure that this is adhered to
KEY QUALIFICATIONS, QUALITIES & ATTRIBUTES
  • Diploma in Business, Social Science or any medical related field
  • Diploma CII, or CPCU
  • High level of business awareness.
  • Understanding of the business strategies, objectives
  • Good knowledge of the MLife policies, Strategies & objectives
(b) Personal Attributes:
  • High standards of honesty and integrity
  • Self Starter
  • Highly Innovative
  • Resilient and ability to work under pressure
  • Passion for and attention to detail
  • Sensitive to other people’s feelings
  • Pleasant and friendly personality
  • Passion for customer/ People care
  • Sense of Urgency
  • Good communicator, both orally and written
  • Team Player
  • Concern for order and quality    –
Skills required undertaking the role:
  • Quantitative/Statistical skills
  • Claims Management Skills
  • Good Interpersonal Skills
  • Accounting Skills
  • Analytical & Planning Skills
  • Time Management
  • Negotiation skills
  • Planning and Organisation
  • Tact and Diplomatic skills
  • Computer Literate
Interested applicants with the requirements stated may submit their applications electronically via email consisting of letter and CV only, in a single document, to the Group Human Resource Manager on jobs@lsa.co.zm. Please indicate the job title in the subject of your e-mail and use your full name as the filename of your application.
The closing date for accepting applications is 25 March 2016. Note that only shortlisted candidates will be contacted.
Please note that MLife is an equal opportunity employer.

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