Duties & Responsibilities

• Validate of claims sent in by providers
• Coordinate pre-employment from clients
• Work hand in hand with the medical team for tariff negotiation
• Liase with medical service providers to ensure prompt delivery of care to clients to avert service failure
• Work hand in hand with the call center executive to ensure authorizations are given in line with diagnosis
• Ensure proper case management of all admissions to ensure adequate cost effective treatment for diagnosis
• Ensure client engagement sessions through provision of periodic health talks
• Facilitate activities at the wellness hub
• Ensure prompt resolution of client complaints
• Ensure weekly/monthly departmental reports are sent in as at when due
• Working with the medical team for the success of medical outreaches and medical checks
• Responsible for claims Audit
• And all other duties assigned my your manager

Required Skill / Experience

• Ability to work independently
• 1-2 years experience
• Administrative and organizational skills
• Excellent interpersonal skills and ability to multi task
• Great Team Spirit
• Sound computer usage skills.