Assistant Officer
2 weeks ago
We are seeking a highly motivated Assistant Officer – Claims Assessment to join our Claims team. In this role, you will be responsible for supporting the end-to-end process of assessing and processing individual and group medical claims, ensuring accuracy, compliance, and excellent service delivery.
Key Responsibilities:
- Handle claims data entry for both inpatient and outpatient medical claims.
- Review and evaluate claim submissions, ensuring all documentation is complete and valid.
- Verify claims accuracy through cross-checking with relevant medical and policy records.
- Communicate with claimants, healthcare providers, and other stakeholders to gather necessary information or clarification.
- Maintain clear and detailed documentation of claims assessment and decisions.
- Support the Claims Manager in preparing reports and analyzing trends.
- Ensure compliance with internal policies and regulatory guidelines.
- Provide prompt and effective customer service to internal and external stakeholders.
- Mentor and support junior staff as needed.
- Participate in process improvement initiatives to enhance claims processing efficiency.
- Perform ad hoc assignments as directed by management.
Job Requirements:
- A recognized University or College degree.
- Minimum 1–2 years of experience in medical claims processing, preferably in both individual and group insurance.
- Proficient in Microsoft Office (Word, Excel, PowerPoint).
- Strong analytical and problem-solving skills.
- High attention to detail with a strong sense of accuracy.
- Able to work independently and as part of a team in a fast-paced environment.
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