Claims Vetting Officer at CIC Insurance Group
- Published date: November 13, 2019
- Category: Administrative & Office
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- Location: Nairobi, Nairobi
- Jop type:
- Salary: Ksh Not mentioned
- Company name: Jobs in Kenya
Job Description
CIC Insurance Group is the leading Cooperative Insurer in Africa, providing insurance and related financial services in Kenya, Uganda, South Sudan and Malawi. The Group offers a wide range of products including General Insurance, Life Assurance, Medical Insurance and Asset Management services. As a pioneer and leader in micro-insurance, the Group’s focus on innovation and excellence in service delivery has differentiated it in the market and earned it international recognition.
Purpose:
Responsible for vetting both in/ outpatient medical claims for payment.
Responsibilities
- Vet in/outpatient medical bills/invoices and refer any suspicious claims to the supervisor;
- Batch outpatient invoices on the system and adjust amount payable as per the vetting findings;
- Check and reject incomplete invoices and return with supporting documents to service providers;
- Negotiate, adjust and update service providers on their cost and accounts status;
- Reconcile statements of accounts for service providers; advising accounts and service providers on unpaid/underpaid bills;
- Review claims reserves on a continuous basis in view of new developments;
- Attend to customer queries and complaints promptly and professionally and
- Recommend risk improvement measures to the underwriter to take appropriate action.
Qualifications
- Bachelor’s degree in a related field or a Diploma in Nursing / Diploma in Clinical Medicine
- Kenya Registered Nursing (KRN) Diploma – Required
- Up to three (3) years’ relevant experience
Skills and Attributes
- Problem solving skills;
- Good analytical skills;
- Computer literate in MS Office and other office applications;
- Understanding of the working environment /competitors;
- Technical competence in insurance;
- Basic knowledge of regulations by AKI and IRA;
How to Apply
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