JOB VACANCY FOR MEDICAL CLAIMS OFFICER POSITION
- BACKGROUND
Prime Insurance Ltd is an insurance company, established in 1995 by Rwandan investors, a licensed general and life insurance company authorized by the National Bank of Rwanda (BNR).
The Company is seeking to recruit a highly skilled, self- motivated and experienced person to fill the position of Medical Claims Officer.
We are looking for a Medical Claims Officer to join our growing team and support the day-to-day activities of our medical department.
- KEY ROLES & RESPONSIBILITIES
Under the supervision of Medical Claims Senior Officer, the Medical Claims Officer shall have the following roles and responsibilities
- Audit and verify that all invoices are captured correctly in our system (SIS NET);
- Scanning medical claims;
- Capture all invoices and reject those that are not payable by PRIME;
- Return all invoices not payable to service providers/members;
- Maintain a database of rejected invoices for reference and retrieval;
- Capture reimbursement claims and assist in cheque dispatch;
- Process funeral benefits cheques within 48 hours;
- Assist in pulling membership utilization reports;
- Maintain a database of all reimbursement claims;
- Ensure facilitation in preparation of medical claims file;
- Ensure compliance with SMART (when rolled out).
- REQUIRED SKILLS & QUALITIES
- Be of proven moral integrity
- Excellent interpersonal skills with the ability to be flexible and adaptable
- Possess strong analytical and assessment skills
- Mature and team player
- Show a sense of responsibility and initiative
- Computer skills
- Ability to follow specified Procedure
- Ability to work under Pressure
- Proficiency in record keeping and Data analysis
- Be a team player;
- High degree of accuracy and attention to details;
- Rwandan Nationals of age below 40 years old are only eligible Candidates
- Female candidates are encouraged to apply.
- EDUCATION & EXPERIENCE
- Bachelor’s degree in health-related field;
- Having a certificate of registered nurse;
- Having a certificate / Foundation course in Insurance;
- Minimum of two (2) years working in a similar role;
- Thorough understanding of policy covers/wordings and their interpretation as pertaining to claims;
- Being fluent in English, French and Kinyarwanda;
- APPLICATION PROCEDURE
- Application letter addressed to Chief Executive Officer.
- Recent Curriculum Vitae (CV) with proven work Experience.
- Notarized education certificates.
- A copy of National Identification.
- Two professional referees.
A copy of a valid Criminal Record Certificate
Please send your application on hrm@prime.rw
The deadline for submitting applications is November 07th, 2023 at 5pm Local time.
NB: Only shortlisted candidates will be contacted.
Disclaimer: Prime Insurance Ltd does not charge any kind of fee at whichever stage of the recruitment process.
Done at Kigali, October 24th, 2023.
Col (Rtd) Eugene M. HAGUMA
Chief Executive Officer
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