Job Title: Claims Analyst (Medical)(Fresher Jobs)
Organisation: Britam Asset Managers Company (Uganda)
Duty Station: Kampala, Uganda
About Organisation:
Britam is a leading diversified financial services group, listed on the Nairobi Securities Exchange. The group has interests across the East African region and offers a wide range of financial products and services in Insurance, Asset Management, Banking and Property. The product range includes life, health and general insurance, pensions, unit trusts, investment planning, wealth management, off-shore investments, retirement planning, discretionary portfolio management, property development and private equity.
Job Summary: To assess and process medical insurance claims efficiently and fairly in line with Britam’s policy terms and claim’s philosophy, while ensuring client satisfaction and cost containment.
Key Duties and Responsibilities:
- Verify submitted claims against policy benefits, exclusions, and limits.
- Review clinical documentation and consult with internal medical personnel where required.
- Liaise with hospitals and clients for clarifications and additional documentation.
- Identify and flag irregular, high-cost, or potentially fraudulent claims.
- Maintain accurate and timely claims records in the system.
- Timely collection of reinsurance recoveries
- Prepare claims reports and support reconciliation processes with providers.
- Support claims audits and continuous process improvement initiatives. Adherence to service levels as set out for our mutual clients
- Assess the loss ratios and ensuring that only quality business is retained.
- Maintain high standard level of customer service
- Liaise with intermediaries and direct clients on issues relating to their claims
- Perform any other duties as may be assigned from time to time
Qualifications, Skills and Experience:
- Bachelor’s degree in Business Related field
- Professional qualification in Insurance (Certificate CII,).
- Two to four years’ experience in medical insurance claims analysis.
- Familiarity with clinical procedures
- Strong attention to detail and analytical skills.
- Good communication skills and customer service orientation.
- Experience in customer, market and competitor understanding.
- Knowledge of Insurance regulatory requirements.
How to Apply:
All candidates should apply online at the link below.
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Level of Education: Bachelor Degree
Work Hours: 8
Experience in Months: 24