Claims Executive

We are seeking dynamic professionals to join our claims team in our corporate managed healthcare business.
The Job:
Provide accurate and efficient adjudication of claims, validation, pre-authorisation of applications and Letter Of Guarantee issuance to meet operational and SLA targets.
Conduct regular review of current claims processes and work with internal stakeholders on developing new and improved processes to improve efficiency and overall claims experience.
Manage escalations and stakeholder relations.
Be a champion for change as well as provide ongoing training and development for effective claims management.
Liaise with the Insurance Company to verify exceptions and resolve any complaints.
Conduct analysis, prepare periodic reports and presentations when required.
Requirements:
Strong technical understanding of the claims process for medical claims, preferably in a Third-Party Administrator/Managed Healthcare environment.
Highly developed interpersonal skills.
Excellent organisational skills and exceptional eye for detail.
Passionate about driving change to improve business outcomes.
Exceptional communication and stakeholder management skills.
Interested applicants please click apply, or send in your resume to us.
Kindly note that only shortlisted candidates will be contacted.#J-18808-Ljbffr