Job Summary
An exciting and challenging opportunity has arisen within First Mutual Health Company, a subsidiary of First Mutual Holdings Limited. Applications are invited from suitably qualified and experienced persons to fill the above vacancy.
Claims and Membership Supervisor – Operations Department
Duties And Responsibilities
Job Specification
• Developing Claims process workflow, work schedules and procedures
• Checking for possible fraudulent claims from existing claims set.
• Recommending claims benefit reviews quarterly for cluster.
• Administering the account reconciliation of the membership book.
• Conducting quality control on captured membership data
• Coordination of Project activities for the cluster.
• Query Resolution to both clients and service providers
Qualifications And Experience
Person Specification
• Diploma in Nursing/ relevant
• Must have an appreciation of Portuguese Language
• An administration certificate will be an added advantage
• 5 years’ experience in a similar or related environment with 1-year experience in a supervisory role.
• Ability to work in a team environment and supervise a small team
• Results Oriented
• Ability to work under pressure
• High standard of accuracy with attention to detail
• Ability to recognise potential risks to the Department
More Information
- Job Application Details How To Apply Candidates meeting the above criteria should forward their Curriculum Vitaes (CVs), copies of certificates and application letters to Group Human Resources via the following email address: [email protected] Applications should be sent by not later than 4 August 2021, by 12 noon.