Vacancy title:
Assistant Claims Analyst - Health
Jobs at:
UAP Group
Deadline of this Job:
15th April 2019
Summary
Date Posted: 10th April 2019 , Base Salary: Not Disclosed , Employment Type: Full_Time , Currency: RWF , Value: 300000 , Minimum: 210000 , Maximum: 900000 , Period: MONTH
JOB DETAILS:
EXCITING CAREER OPPORTUNITIES
Old Mutual plc. Is a leading multinational long-term savings, protection and investment group which has been operating for over 170 years. It has operations in Africa, Europe, the Americas, and Asia, supported by over 56,000 employees serving over 16 million customers. Old Mutual is listed on the London and Johannesburg Stock Exchange.
The UAP Old Mutual Group comprises of three key players as a result of the acquisition of a controlling stake in Faulu in 2014 and UAP in 2015 by Old Mutual. The acquisition resulted in Old Mutual Kenya (www.oldmutual.co.ke), UAP Holdings (www.uap-group.com) and Faulu Microfinance Bank (www.faulukenya.com) forming one of the largest financial services groups with a growing footprint in East and Central Africa. The Group currently has operations in Kenya, Uganda, Tanzania, South Sudan, Rwanda and the Democratic Republic of Congo.
The Group now offers customers a comprehensive and enhanced range of financial services which include Investment, Insurance, Banking, and Savings as well as a wider and more accessible distribution network. The wider group also offers broad career growth prospects for employees. It, therefore, wishes to fill the below vacant position with a qualified, experienced and talented individual to strengthen its portfolio as a Pan – African Financial Services Group. The position’s details are further outlined below:
ASSISTANT CLAIMS ANALYST HEALTH (1POST) ROLE SIZE K
Reporting to the Senior Claims Analyst, the incumbent will be responsible for organizing and maintaining medical claims documents and Archives filing systems for easy retrieval of file and to offer proper security precautions and storage for both current and non-current files processing claims in an expeditious and professional manner thereby meeting the customer’s expectations and the overall departmental objectives..
The key objectives for this position are: -
• Registration and Vetting of claims
• Libelling of all incoming files in a systematic manner to ensure accurate and efficient management of documents
• Batch, scan and index all claim documents for payment processing monthly.
• Process claims payments to providers with consultation with claims analyst
• Provide reports of claims received and not paid (outstanding claims)
• Monitor and support scanning materials to ensure constant supply
• Facilitate archiving of scanned claims documents after payment.
• Update inventory cards when files are returned to the registry to track the movement of files
• Maintain an updated record of all files in registry to facilitate easy tracing of files
• Repair torn files and change weak rails and ensure high standards are maintained in records management
• Appraise files, transfer and organize arrangement of the non-current files in the Archives to ensure only current files are kept in the registry and non-current files are transferred and kept in the archives
• Recommend disposal/destruction of files to ensure adequate utilization of filing space
• Keep an inventory of available space and recommend future needs for an efficient registry.
• Coordinate, set and monitor targets for the Registry Operations to ensure smooth running of the registry
• Prepare monthly reports for the Manager’s review.
• Ensure security of files in the registry and that sensitive information remains confidential
Personal Effectiveness
• Accountable for service delivery through own efforts.
• Individually accountable for managing own time, tasks and output quality over periods of 1 day to a max of three months.
• Makes increased contributions by broadening individual skills.
• Collaborates effectively with others to achieve personal results.
Knowledge and Skills
Self-motivated,
• Must be a strategic thinker with strong organizational and analytical skills.
• Ability to work as a team player,
• Honesty, reliability & dependability
• Organises time efficiently with the ability to prioritize work on a wide range of deliverables at once
• Good business acumen and good understanding of the market
• Self-starter who shows initiative and is able to work under minimal supervision
• Excellent Communication & Influencing Skills
• Innovative
• Builds and maintains strong business relationships
• Organized and self-driven person who can work at minimal supervision who will be able to work on own initiative.
• Ensure compliance with standards of service/Customer service charter in all Health operations.
• Perform any other duties as may be requested by Management.
• Uses specialist technical knowledge to evaluate and manage the validity of contracts and determine and manage the liability of claims (Assessor).
• Determines, selects and accepts risk and/or liability on behalf of the organisation.
• Evaluates proposals and medical evidence against business rules and practices.
• Exercises discretion in decision making within standardized practice.
Personal Effectiveness
• Accountable for service delivery through own efforts.
• Individually accountable for managing own time, tasks and output quality over periods of 1 day to a max of three months.
• Makes increased contributions by broadening individual skills.
• Collaborates effectively with others to achieve personal results.
• Accepts and lives the company values.
Qualifications and experience
• Diploma/certificate in Health Sciences/Nursing or Diploma in medical records management
• Experience medical insurance underwriting added advantage
• Demonstrate interest in attaining professional insurance qualification
• Good Computer skills and IT skills
• 2 years’ experience in records managemen
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Job application procedure
Interested candidates who meet the above requirements are requested to apply for the roles through resourcing@uap-oldmutual.com by 5.00 p.m. 15th April 2019.
ONLY short-listed candidates will be contacted.
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