Medical Claims Analyst
Old Mutual Insurance Rwanda | Post type: jobs September 27, 2024 - Deadline 01/10/2024 | NumberOfPosition [1]

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 Rwandan’s revolutionary financial services company with a commitment to enhance the quality of life by delivering peace of mind and financial freedom

Role Title: Medical Claims Analyst - 1 Post

Business Unit(s): Rwanda

Business /Function: Medical Claims Analyst

Location: Rwanda-Kigali

Reports To: Senior Claims Analyst

MDP Level: Manager of Self

Role Size: L

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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