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8 Jan 2024

Medical Claims Analyst at Old Mutual Kenya

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Job Description

Old Mutual Kenya is based in Nairobi and is part of a larger group that offers solutions in long-term savings, asset management and investment. We offer solutions to individuals and corporates underpinned by our core values which are: Respect, Integrity, Accountability and Pushing beyond boundaries.

Responsibilities

To assist in processing of medical claims with a focus on cost control and management of member benefits through linking and coding of inpatient and outpatient bills and capturing in the company medical business operating system(s).

  • Capturing of claims as per set rules/guidelines and validate a claim against policy / scheme / guidelines, agreed etc.
  • Organizing trainings on document uploads in liaison with key partners and ensuring compliance with the corporate document management policy
  • Clean up of the medical claims electronic data management system to ensure an efficient document management system.
  • Proactive management of member benefits and reporting of any unusual trends as per the agreed SLA with suppliers and partners.
  • Offer Resolution of any missing information required to fully capture a claim by reaching out to the finance payables team.

Education

  • Qualification- Bachelor’s degree in any medical related fields, Insurance field or Business field.




Method of Application

Submit your CV and Application on Company Website : Click Here

Closing Date : 31 January. 2024





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