Claims Accessor at Oceanic Health Management Limited

 Job Duties/ Responsibilities/ Accountabilities:

• Coordination of the medical claims.
• Receipt and registration of Provider claims.
• Keying-in of Provider claims.
• Adjudication of claims.
• Processing of claims within contractual timelines.
• Management of medical expenses within benefits.
• Preparation and collation of Provider claims, sending reviews and reports.
• Attendance of internal meetings to enhance productivity and profitability.
• Ensure all administrative reports are sent within allotted timelines.
• Unit document filling and record keeping.
• Escalation of unit requirements to other relevant internal stakeholders.
• Vetting of member reimbursement documents in accordance with incidental circumstances and agreed rates.
• Any other task and duty as assigned by the head of unit.

REQUIREMENTS

•  Minimum of Bsc/HND in Health-related degrees/Registered Nurse e.t.c. 
• At least 1or 2 years’ experience in HMO is essential. 

Functional/ Technical:

• Good clinical skills
• Apt administrative skills
• Excellent handling of Microsoft Office tools

Relationship management skills

Managerial:

• Ability to multi-task
• Problem solving
• Analytical expertise
• Innovative capability

Discreet

Behavioral:

• Heightened interpersonal skills.
• Excellent communication skills
• Time management skills