Health Reporting & Controls Assistant

Main Responsibilities will include

• Perform Accounting Duties; reconciliation of Statement of Account from Clinics and/ Service Providers
• Review, reconcile and close monitoring of debtor’s list (claims payment and underwriting)
• Liaise with the In-Patient Team for any reconciliation exercise
• Liaise with other clusters for reconciliation exercise
• Liaise with Accounts, Business Transformation Solutions and Claims departments as and when required
• Handle and follow up queries and recoveries
• Updating of claims file on system
• Provide support and reports for health portfolio analysis/ results to Clients and business partners
• Generate reports and assist the Marketing Team, Underwriting Team and Claims Team for reporting and statistical data
• Attend to meeting with service providers and clients

Qualifications and Experience

• Higher School Certificate (HSC) or equivalent
• Diploma in Accounts
• Have some Health Insurance and/ or General Insurance knowledge
• Be customer-oriented, proactive and dynamic
• Well versed in policy wording, policy terms and conditions
• Good interpersonal and communication skills (both oral and written)
• Be able to handle pressure to deliver against tight deadlines
• Be a team player
• Have an outgoing personality with good communications skills
• Be well conversant with MS Office Tools (including PowerPoint) and with passion to excel

The Company reserves the right

• To convene only the best qualified candidates to participate in the selection exercise.
• Not to make any appointment following this advertisement.
• Filter and process Out-Patient claims
• Handle and follow-up with incoming calls, incoming mails and queries in a timely manner
• Send claims history reports and bordereaux
• Liaise and assist In-Patient and Provident Fund teams as and when required
• Liaise with in-house Medical Officers
• Liaise with the Accounts and other departments as and when required
• Liaise with the Underwriting and Marketing teams on a regular basis
• Communicate with Agents and Brokers
• Higher School Certificate (HSC) or equivalent
• Have prior experience in Health insurance will be a definite advantage
• Have good communication and interpersonal skills
• Be a team player
• Be able to work under pressure to meet tight deadlines
• Be conversant with MS Office Tools