Claims Manager

A Reputable Company

Job Summary

In charge of Claims Management

  • Minimum Qualification: Degree
  • Experience Level: Entry level
  • Experience Length: 1 year

Job Description

Responsibilities 

  • Ensure capturing of all incurred claims
  • Vetting of claims on structure OPD and Inpatient benefit filters
  • Adjudicate claims administratively and medically
  • Reconciling claims reported with HSPs
  • Auditing claims with the priority of identifying fraud
  • Advice finance on processed claims for payment
  • Carry out quarterly clinical audits at the provider end
  • Keep an up to date record on all provider and member claims
  • Ensure proper conduct and high performance level of claim officers
  • Coordinate activities of all claims officers to ensure effective and timely payment of claims
  • Produce monthly savings reports on rejections and cancelled fraudulent claims
  • Preparing weekly and monthly reports on all activities of the claims department.
  • Carrying out any other duties as directed by the company.


Qualification and Requirements

  • A minimum of a Degree in Nursing
  • At least one year experience in a similar role

Interested candidates should send CVS to:b.tettey@apexhealthghana.com

Share Job Post

Log In to apply now

Activate Notifications Stay productive - get the latest updates on Jobs & News
Activate
Deactivate Notifications Stop receiving the latest updates on Jobs & News
Deactivate
A Reputable Company
Accra & Tema Region
| Full Time |
Confidential
1mo
A Reputable Company
Accra & Tema Region
| Full Time |
Confidential
4w
A Reputable Company
Accra & Tema Region
| Full Time |
Confidential
3w
Accra & Tema Region
| Full Time |
Confidential
2w