Resolution Insurance Company Ltd is a general insurer offering innovative and responsive insurance solutions. We have learned to adapt in this constantly changing society, and develop comprehensive products that are relevant to our clients. We currently have over 60,000 members in our fold and have partnered with over 500 medical service providers across East Africa; a strong network of hospitals, clinics and doctors. The Resolution Insurance brand is energetic and trendy. In pursuit of our ambitious growth plan, we are looking to fill the below position in our Actuarial Section. CLAIMS ADMINISTRATOR The Claims Administrator reporting to the Medical Operations Manager through the Assistant Claims Manager is expected to receive claims documentation, review the information, and maintain a record/register of all claims received while keeping regular communication with Medical service providers/clients on related issues. Key Outputs 1. Accurately and timely receiving claims and reviews all pertinent claim information to ensure quality output. 2. Request additional information as appropriate from provider on received claims. 3. Communicate on inconsistencies or missing details on remittances/refund 4. Record the claims received on the claims register and maintain communications to providers and clients on claims/refunds. 5. Timely reconciliation of received claims before processing. 6. Timely handling of the disputed claims. 7. Oversee and ensure efficiency of claims receiving in subsidiary offices 8. Prepare and communicate on the relevant reports to the management. 9. Initiate projects that contribute to efficiency in claims process. 10. Accurate and timely data entry. 11. Efficient correspondence on client s queries &feedback. 12. Perform any other tasks as assigned. Qualifications & Experience Diploma in a business field A Bachelors degree will be an added advantage 2 years working experience in a similar role. Key Competencies An understanding of the company s procedures and methods in processing of claims Knowledge of Microsoft Office with excellent skills in Excel Good analytical and problem solving skills Strong communication and interpersonal skills Data entry skills If you believe you are a team player and would be a valuable resource to this ever growing brand, kindly email your: 1. Application letter 2. Updated CV listing three references 3. Expected remuneration package 4. Availability should you be offered the position By COB, Monday 01st September, 2014 to recruitment@resolution.co.ke Ensure that you quote the position in the email subject. Only shortlisted candidates will be contacted.
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