Job Vacancies (2 Positions)
Old Mutual Insurance Rwanda | Post type: jobs
September 26, 2024 - Deadline 01/10/2024 | NumberOfPosition [2]
Old Mutual Insurance Rwanda Overview
Old Mutual Insurance Rwanda (former UAP Insurance Rwanda) is a subsidiary of UAP Old Mutual Group, member of Old Mutual Limited, an Integrated financial service provider comprising Insurance, Banking, and Investment Business. Old Mutual insurance Rwanda vision is being the Rwandanās revolutionary financial services company with a commitment to enhance the quality of life by delivering peace of mind and financial freedom
Role Title:
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Medical Claims Analyst - 1 Post
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Business Unit(s):
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Rwanda
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Business /Function:
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Medical Claims Analyst
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Location:
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Rwanda-Kigali
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Reports To:
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Senior Claims Analyst
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MDP Level:
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Manager of Self
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Role Size
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L
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JOB SUMMARY
To ensure prompt processing of medical claims.
PRINCIPAL ACCOUNTABILITIES.
- Manage Claims Ratio as per target
- Use claims tariff during claims payment and signing with providers
- Prompt claims settlement as per agreement with providers
- Reconcile service provider account and close issues arising
- Enhance claims documentation for better adjudication
- Pharmacy claims management
- Smart claims monitoring
- Major provider management
- Contain Optical claims
- Reduce drug cost through implementation of Pharmacy Book
- Claims vetting and adjudication
- Effective communication
- Provider and customer Email management
- Complaints resolution time
- Management of reimbursement Claims
- Compliance to Procedure Manuals
- Ensure complete and efficient implementation of e-Oxygen and its integration with other systems.
- Departmental meeting
- Process reviews yearly
- Individual Performance management
- Report your duties monthly on time (on 5th of the month)
- Any other task as assigned by your Line Manager
Qualifications and experience
- University degree in health-related field
- Basic Insurance qualification
Skills and competencies
- Good communication and negotiating skills
- Good attention to details and accuracy
- Good analytical and monitoring skills
- User IT skills in database management and office systems.
- Good interpersonal skills
- Thorough understanding of policy covers/wordings and their interpretation as pertaining to claims
Integrity and honesty
Please visit our careers page through:
https://oldmutual.wd3.myworkdayjobs.com/en-US/Old_Mutual_Careers/details/Claims-Analyst_JR-58805?q=rwanda
Interested candidates are requested to submit their applications by 5.00 p.m. 1st October 2024.
Applicants must possess or be in the process of applying for a POLICE CLEARANCE CERTIFICATE as at the time of making an application.
ONLY short-listed candidates will be contacted.
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Role Title:
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IT Business Analyst - 1 Post
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Business Unit(s):
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Rwanda
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Business /Function:
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IT Business Analyst
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Location:
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Rwanda-Kigali
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Reports To:
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ICT Manager
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MDP Level:
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Manager of self
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Role Size
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M
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JOB SUMMARY
The job purpose of a Business Analyst is to identify business needs, propose solutions, support core systems, and facilitate communication between stakeholders and system vendors to improve processes and achieve organizational goals.
PRINCIPAL ACCOUNTABILITIES.
- Analyze existing systems and redefining them to consider changes in system requirements or equipment configurations (Systems Automation)
- Collection and Analysis of project requirements, and Assistance to the developmental/Vendor team in optimizing their work.
- Providing developmental suggestions to the company and improving operational efficiency.
- To maintain and monitor system integrations (AIMS,EO2,D365 AND D365)
- Developing and directing software system validation and testing methods.
- Write and test code to ensure compatibility and stability: refine and rewrite, as necessary.
- Design, develop, modify, and implement software functionalities in the software full stack.
- Determine root cause for software issues and develop practical, efficient, and permanent technical solutions.
- Lead and develop procedures documentation for knowledge transfer.
- Working closely with system users and cross-functional departments to communicate project statuses and proposals.
- Analyzing data to effectively coordinate the installation of new systems or the modification of existing systems.
- Managing the software development lifecycle.
- Monitoring system performance and server performance.
- Communicating key project data to team members and building cohesion among teams.
- Creating innovative solutions to meet our company’s technical needs.
- Provide and assist in training and support to users for newly developed applications.
- To provide support, including procedural documentation and relevant reports
- Monthly reporting on system functionalities and critical exposures.
- To perform any other task that may be assigned by his superior.
Qualifications and experience
- BSc/Ba in Information Technology, Computer Science or a related discipline
- Professional certification (e.g. Agile, SQL, Power BI, Power Apps) would be an added advantage.
Skills and competencies
Analytical Skills
- Critical Thinking:Ability to analyze complex problems and develop innovative solutions.
- Data Analysis:Proficiency in interpreting and analyzing data to support decision-making.
Communication Skills
- Verbal Communication:Effective communication with stakeholders at all levels.
- Written Communication:Clear and concise documentation of requirements, reports, and other materials.
Technical Skills
- Software Proficiency:Familiarity with business analysis tools (e.g., MS Excel, SQL, BI tools like Tableau, Power BI).
- System Knowledge:Understanding of core systems, ERPs, CRMs, and their functionalities.
- Database Management:Ability to work with databases, write queries, and understand database design.
- Programming Basics:Basic knowledge of programming languages (e.g., Python, R) for data analysis.
- Requirements Management Tools:Proficiency in using tools like JIRA, Confluence, and Trello.
- Process Modeling:Skilled in using modeling tools like Visio, Lucidchart for creating process flows and diagrams.
- API Integration:Understanding of API functionalities and how to integrate different systems.
- System Testing:Ability to develop and execute test plans and test cases.
- Cybersecurity Awareness:Basic understanding of security principles to ensure data protection and compliance.
Project Management
- Organization:Ability to manage multiple tasks and projects simultaneously.
- Time Management:Efficiently plan and prioritize tasks to meet deadlines.
Problem-Solving
- Root Cause Analysis:Identify the underlying causes of issues and develop effective solutions.
- Decision Making:Make informed decisions based on data and stakeholder input.
Interpersonal Skills
- Stakeholder Engagement:Build strong relationships with stakeholders to understand their needs and expectations.
- Collaboration:Work effectively with cross-functional teams and vendors.
Business Acumen
- Industry Knowledge:Understand the industry landscape and business trends.
- Financial Literacy:Basic understanding of financial principles and business metrics.
Adaptability
- Flexibility:Adapt to changing business environments and requirements.
- Continuous Learning:Stay updated with new technologies and methodologies.
Attention to Detail
- Accuracy:Ensure precision in data analysis and documentation.
- Thoroughness:Conduct comprehensive reviews and validations of solutions.
Negotiation Skills
- Conflict Resolution:Resolve conflicts between stakeholders and vendors effectively.
- Persuasion:Influence stakeholders to gain consensus on proposed solutions.
Please visit our careers page through:
https://oldmutual.wd3.myworkdayjobs.com/en-US/Old_Mutual_Careers/details/IT-Business-Analyst_JR-58804?q=rwanda
Interested candidates are requested to submit their applications by 5.00 p.m. 1st 0ctober 2024.
Applicants must possess or be in the process of applying for a POLICE CLEARANCE CERTIFICATE as at the time of making an application.
ONLY short-listed candidates will be contacted.
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