Jubilee Insurance – Claims Approver 2021/2022



Job Ref. No. HRJIC626

Position: Claims Approver

 

We as of now have an energizing career opportunity for Claims Approver, Celebration Wellbeing Protections Restricted. The position holder will report to the Claims Group Pioneer and will be based at Head Office in Nairobi.

 

Role Purpose

 

Beneath common supervision, the part holder is capable for Claims appraisal and endorsement in line with guidelines, approaches and strategies whereas consistency assembly day by day targets.

 

Main Responsibilities

 

1. Survey claims to guarantee subtle elements are captured accurately. Part title, conclusion, supplier and invoiced sums count on the claim frame, letter of undertaking and the system. 

 

2. Affirm participation legitimacy and benefits some time recently preparing claims. 

 

3. Survey patients’ history and records to decide cause of illness or clutter and survey in case treatment and medicine suggested connects with the diagnosis. 

 

4. Distinguish candidates for referral for pro care and communicate the same to care managers. 

 

5. Affirm that treatment given is in adherence to supplier board rules of qualification as well as standard and sensible pricing.

 

6. Give preparing and direction to group individuals on rising issues around claims assessment. 

 

7. Recognize false claims with an point to decrease claims costs and empower judicious advantage administration for members. 

 

8. Contributing to reports on utilization, normal costs of treatment and others as required.

 

Key Competencies

 

1. Capable in Actisure. 

2. Execution announcing and management. 

3. Wellbeing Benefits Arrange Management. 

4. Insights and Trade Advancement skills. 

5. Approach Interpretation. 

6. Client Service.

 

Qualifications

 

1. Confirmation or a Bachelor’s degree in any Wellbeing care related field. 

2. Enlistment by administrative body. 

3. Protections Proficient capability (AIIK/CII).


Relevant Experience

 

1. Information of therapeutic protections claims forms and procedures. 

2. Information and involvement within the protections concepts & administrative requirements.

3. Fundamental understanding of the concepts of insurance. 

4. Capable within the use of Microsoft office suite and packages.

 If you're qualified and looking for an energizing unused challenge, it would be ideal if you apply through Recruitment@jubileekenya.com citing the Work Reference Number and Position by 18th June 2021. 

Only shortlisted candidates will be contacted.

https://jubileeinsurance.com/ke/wp-content/uploads/2021/06/HRJIC626-CLAIMS-APPROVER.pdf

 

 


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