Medical Claims Officer at Prime Insurance Ltd: (Deadline 7 November 2023)

Medical Claims Officer at Prime Insurance Ltd: (Deadline 7 November 2023)

JOB VACANCY FOR MEDICAL CLAIMS OFFICER POSITION

1.  BACKGROUND

Prime Insurance Ltd is an insurance company, established in 1995 by Rwandan investors, a licensed general and life insurance company authorized by the National Bank of Rwanda (BNR).

The Company is seeking to recruit a highly skilled, self- motivated and experienced person to fill the position of Medical Claims Officer.

We are looking for a Medical Claims Officer to join our growing team and support the day-to-day activities of our medical department.

2. KEY ROLES & RESPONSIBILITIES

Under the supervision of Medical Claims Senior Officer, the Medical Claims Officer shall have the following roles and responsibilities

• Audit and verify that all invoices are captured correctly in our system (SIS NET);
• Scanning medical claims;
• Capture all invoices and reject those that are not payable by PRIME;
• Return all invoices not payable to service providers/members;
• Maintain a database of rejected invoices for reference and retrieval;
• Capture reimbursement claims and assist in cheque dispatch;
• Process funeral benefits cheques within 48 hours;
• Assist in pulling membership utilization reports;
• Maintain a database of all reimbursement claims;
• Ensure facilitation in preparation of medical claims file;
• Ensure compliance with SMART (when rolled out).

3. REQUIRED SKILLS & QUALITIES

• Be of proven moral integrity
• Excellent interpersonal skills with the ability to be flexible and adaptable
• Possess strong analytical and assessment skills
• Mature and team player
• Show a sense of responsibility and initiative
• Computer skills
• Ability to follow specified Procedure
• Ability to work under Pressure
• Proficiency in record keeping and Data analysis
• Be a team player;
• High degree of accuracy and attention to details;
• Rwandan Nationals of age below 40 years old are only eligible Candidates
• Female candidates are encouraged to apply.

4. EDUCATION & EXPERIENCE

• Bachelor’s degree in health-related field;
• Having a certificate of registered nurse;
• Having a certificate / Foundation course in Insurance;
• Minimum of two (2) years working in a similar role;
• Thorough understanding of policy covers/wordings and their interpretation as pertaining to claims;
• Being fluent in English, French and Kinyarwanda;

5. APPLICATION PROCEDURE

• Application letter addressed to Chief Executive Officer.
• Recent Curriculum Vitae (CV) with proven work Experience.
• Notarized education certificates.
• A copy of National Identification.
• Two professional referees.

A copy of a valid Criminal Record Certificate

Please send your application on [email protected]

The deadline for submitting applications is November 07^th, 2023 at 5pm Local time.

NB:  Only shortlisted candidates will be contacted.

Disclaimer: Prime Insurance Ltd does not charge any kind of fee at whichever stage of the recruitment process.

Done at Kigali, October 24^th, 2023. 

Col (Rtd) Eugene M. HAGUMA

Chief Executive Officer