Claims Analyst-Medical at Old Mutual Insurance Rwanda: (Deadline 25 April 2023)
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.
Old Mutual Limited (OML) is a premium African financial services group that offers a broad spectrum of financial solutions to retail and corporate customers across key markets in 14 countries. Our primary operations are in South Africa and the Rest of Africa, and we have niche businesses in Asia. We have 12 million customers and 30,000 employees and with over 175 years of heritage across sub-Saharan Africa, we are a crucial part of the communities we serve and broader society on the continent. The business is listed on the Johannesburg, London, Zimbabwean, Malawian and Namibian stock exchanges. The UAP Old Mutual Group comprises of three key players as a result of the acquisition of a controlling stake in Faulu in 2014 and UAP in 2015 by Old Mutual. The acquisition resulted in Old Mutual Kenya and UAP Holdings (www.uapoldmutual.com) as well as Faulu Microfinance Bank (www.faulukenya.com) forming one of the largest financial services groups with a growing footprint in East and Central Africa. The Group currently has operations in Kenya, Uganda, Tanzania, South Sudan and Rwanda. The Group now offers customers a comprehensive and enhanced range of financial services which include Investment, Insurance, Banking, and Savings as well as a wider and more accessible distribution network. The wider group also offers broad career growth prospects for employees. It therefore wishes to fill the below vacant position with qualified, experienced, and talented individual to strengthen its portfolio as a Pan – African Financial Services Group. The positions’ details are further outlined below;
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Role Title: |
Claims Analyst-Medical –1 Post |
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Business Unit(s): |
Rwanda |
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Business /Function: |
Operations-Health |
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Location: |
Rwanda |
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Reports To: |
Senior Claims Analyst |
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MDP Level: |
Manager of self |
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Role Size |
L |
Job Summary
This role is responsible for ensuring complete and sound claim settlements, legal reviews and investigations in accordance with company policies and procedures.
Key tasks and responsibilities
- Audit and verify that all invoices are captured correctly in E-Oxygen.
- Bar coding and scanning of medical claims.
- Capture all invoices and reject ones not payable by Old Mutual.
- Return all invoices not payable to providers / members.
- Maintain a Database on rejected invoices for reference and retrieval.
- Capture Reimbursement claims and assist in cheque dispatch.
- Process Funeral Benefit cheques within 48 hours.
- Prepare schedules for claims other OM subsidiaries.
- Assist in pulling Membership utilization reports.
- Maintain database on all reimbursement claims.
- Prepare and facilitate medical claims file.
- Ensure compliance with SMART (when rolled out)
- Any other task as assigned by line manager.
Qualifications and experience
- Bachelor’s degree in medical field
- 3+ years’ work experience in medical claims
- Qualifications in insurance is an added advantage.
Skills and competencies
- Accountable for service delivery through own efforts.
- Ability to deliver results when objectives are set
- Excellent relationship management skills
- High level of initiative and self-motivation
- Task and time management proficiency
- Good communications skills and negotiating skills
- Resilience to cope with pressure of working in a fast paced, dynamic and rapidly changing customer expectations environment.
Please visit our careers page through: https://oldmutual.wd3.myworkdayjobs.com/en-US/Old_Mutual_Careers/details/Claims-Analyst-Medical_JR-38715?q=rwanda
Interested candidate are requested submit their applications by 05.00 p.m. 25th April 2023.
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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