Job for Senior Claims Associate at RelianceHMO

0
Jobs hiring latest jobs job vacancies

RelianceHMO is a Y Combinator 2017 Winter Batch business backed by leading Silicon Valley Venture Capitalists that utilizes software application, information science, and telemedicine to make medical insurance wonderful, inexpensive and simpler to gain access to. Leveraging reliable item management and development techniques, we have actually effectively placed ourselves as a competitive gamer in the Nigerian Health Insurance Industry.

In addition to the quality of our services, we are incredibly pleased with our vibrant workplace where you can be whoever you wish to be. We are a group of bubbly, industrious people whose culture and core worths permit us match each other and work together towards typical objectives.

We are hiring to fill the position listed below:

Job Title: Senior Claims Associate

Location:  Lagos
Employment type: Full Time
Reports to: Team Lead, Claims and Analytics
Expected Start Date: Q2 2020

The Candidate

  • The perfect candidate for this function is somebody with a start-up mindset who is prepared to strive and press the limitations in making sure claims vetting and management process is a success.
  • The Senior Claims Associate will be accountable for vetting all claims sent by our Providers to guarantee they are mistake and scams totally free
  • They will handle claims payment and be associated with the resolution of medical cases needing unique attention.

HOT JOB : Cadbury Plc (Mondelez International) 2020 Job Recruitment in Nigeria Portal

 

Key Responsibilities

  • Examine Healthcare Providers’ Claims utilizing the Tariff arrangement to identify credibility and payment.
  • Decline deceitful Healthcare Providers’ Claims, and state causative factors.
  • Forward authorized Claims to Team Lead for evaluation and last approval.
  • Investigate complex Claims and intensify to Team lead, if needed.
  • Carry out physical assessment at the designated company’s workplace utilizing the list.
  • Investigate complex claims by inspecting the case folder and speaking with the Enrollee and the physician.
  • Escalate deceitful cases to the Committee of Doctors.
  • Update Providers’ control panel, and execute resolutions.
  • Relate with the Customer success group to handle concession demands.
  • Relate with innovation and style group on any upgrade on the procedures relating to the claims of Healthcare Providers.
  • Relate with Provider Relations Service system for tariff arrangement.

Minimum Qualifications

  • Minimum of a Bachelor of Medicine and Bachelor of Surgery (MBBS).
  • Relevant work experience in a comparable function is an included benefit
  • Excellent Numeracy, Analytical and Problem-resolving abilities.
  • Strong capability to make judgement on medical/ surgical cases in relation to advantages noted on enrollee’s advantages.
  • Ability to make expert judgement on protection and non-coverage of care demands per time, based upon the enrollee’s advantages table.

Application Closing Date
10th April, 2020.

How to Apply
Interested and certified candidates should:
Click here to apply online

JOBS RECOMMENDED 4 YOU  

  1. United Bank for Africa Plc (UBA) 2020 Job Recruitment –3 Positions
    Massive Recruitment at Fortune Marine & Energy Services Limited
  2. Massive Recruitment at  Oyo  state civil service commission 
  3. 2020 Massive Recruitment at The American University of Nigeria
  4. Ongoing Jobs Recruitment in a Reputable Plastic Manufacturing Company in Lagos

RECOMMENDED LINKS


LIKE OUR PAGES TO GET LATEST UPDATES

7,251FansLike
600,234FollowersFollow
353FollowersFollow

LATEST POST

Covid-19-support Loan , cbn loan


For Breaking News, or Eye witness report Contact us on: SMS/Whatsapp: +2347033247217 Email: [email protected].com


NOTE :  No Genuine Employer will Request for MONEY from Job Seekers


The views expressed in this article are the Author/writer’s, they do not reflect the views of EJES GIST NEWS. Please report any fake news or defamatory statements to [email protected]

LATEST JOBS IN NIGERIA

TOP TRENDING POST

MOST POPULAR JOBS

HOT JOBS RECOMMEND FOR YOU

Polaris Bank Limited 2020 Recruitment for Cashiers

Federal University of Kashere 2020 Job Recruitment

Hot Job Vacancies at Federal Medical Centre, Keffi

Edo State College of Agriculture 2020 Massive Recruitment

 Vacancies at Flour Mills of Nigeria Plc

Federal University of Kashere 2020 Job Recruitment

University of Ilorin Teaching Hospital (UITH) latest Job Vacancies

Dangote Refinery Recruitment for June 2020 –9 Positions

Stanbic IBTC Bank Recruitment Form 2020,

Edo State College of Agriculture 2020 Massive Recruitment

Federal Ministry of Agriculture and Rural Development (FMARD)

Lagos State Teachers Recruitment 2020 for NCE, B.Sc

2020 Massive recruitment at American University of Nigeria

2020 Massive Recruitment at Ekiti State College of Agriculture and Technology

HotJobs at Federal University of Technology

TYPE HERE TO QUICK SEARCH FOR JOBS & NEWS


Click Here To Get Latest Jobs In Your Inbox Everyday

LEAVE A REPLY

Please enter your comment!
Please enter your name here

This site uses Akismet to reduce spam. Learn how your comment data is processed.