Lets Write Africa's Story Together!

Old Mutual is a firm believer in the African opportunity and our diverse talent reflects this.

Job Description

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To ensure prompt processing of medical claims.

Manage Claims Ratio as per targetUse claims tariff during claims payment and signing with providersPrompt claims settlement as per agreement with providersReconcile service provider account and close issues arisingEnhance claims documentation for better adjudicationPharmacy claims managementSmart claims monitoringMajor provider managementContain Optical claimsReduce drug cost through implementation of Pharmacy BookClaims vetting and adjudicationEffective communicationProvider and customer Email managementComplaints resolution timeManagement of reimbursement ClaimsCompliance to Procedure ManualsEnsure complete and efficient implementation of e-Oxygen and its integration with other systems.Departmental meetingProcess reviews yearlyIndividual Performance managementReport your duties monthly on time (on 5th of the month)Any other task as assigned by your Line Manager

Skills

Competencies

Action Oriented

Collaborates

Ensures Accountability

Instills Trust

Manages Complexity

Optimizes Work Processes

Plans and Aligns

Education

Closing Date

27 December 2024 , 23:59

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