Deputy Manager- Medical Claims

1. Undergraduate degree in any business related field
2. Diploma in Clinical services ( Nursing or Clinical medicine)

3. AIIK or ACII will be an added advantage

Responsibilities

1. Managing and implementing of the Medical Department strategy, policies, processes and procedures to support the achievement of the overall business objectives.
2. Ensuring good customer service towards building stronger client relations through health talks, products education and holding frequent service meetings.

3. Allocating responsibilities, distributing roles equitably and close monitoring of deliveries to the medical claims team.

4. Co-coordinating and supervising claims processing to ensure quick settlement to

providers and individuals within the agreed time around time (TAT).

5. Care management and coordination of the same.

6. Maintaining and keeping good records of medical documentations for future reference.

7. Engaging service providers through service level agreements and providing them with updates through account reconciliation and better communication on declinature and liability towards provision of quality service.

8. Educating and training our clients in our medical books on purchased product knowledge and having health talks to mitigate ailment rate.

9. Preparing, monitoring and reporting of the medical department budgetary allocations

towards less company expenditures.

10. Talent management including coaching, mentoring, developing, motivating, training and evaluating staff in the medical department to achieve highest levels of performance.

11. Leading and managing the medical department on basis of company ethics and culture to promote provision of quality financial services to both shareholders and stakeholders.

12. Identifying, implementing and benchmarking best practices in management of the

Medical Department to ensure high retention and growth rate of the medical portfolio.

13. Ensuring super customer service to both internal and external clients by providing

required prompt response to queries raised, complaints and compliments to achieve

Company’s customer centric approach.

14. Managing and Implementing change initiatives to achieve desired business plans and culture

Job Requirements
Required education
: Bachelor's degree

Required relevant work experience
: 5 years

Required languages:
English (Spoken: fluent | Written: fluent)
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