Claims Assessor at Total Health Trust Limited (THT)

Total Health Trust Limited (THT), Nigeria’s leading Health Maintenance Organization (HMO) was founded in 1997 and commenced operations in June 1998. Our unrivaled 18 years industry track record has seen us build a formidable reputation in Nigeria and we remain the HMO of choice for over 300,000 members and over 500 corporate clients and government institutions.

We were the first HMO to be registered in Nigeria and 18 years later, we are still number one in the market. We are one of the very few HMOs that can boast the financial and technical backing of a world class company – Liberty Health (a member of the Liberty Group). The organization further prides itself with its rich culture of Respect, Compassion, Pride and Expertise.

Job Title: Claims Assessor

Descriptions

  • To vet all claims pertaining to either the managed care or Blue product to ensure that the daily targets are achieved
  • To capture all claims pertaining to either the managed care or Blue products to ensure that the daily targets are achieved
  • Send out cheques to providers within the agreed SLA
  • To ensure all Claims correspondence to providers or members are sent out timeously
  • To adhere to and live the organisational values.

Requirements

  • Candidate must be a registered nurse, midwife or possess B.Sc. Nursing with valid license.
  • Candidate must have a minimum of Credit or Second Class Upper Division and additional medical qualification will be an added advantage
  • Candidate must have minimum of 1 year clinical experience and experience in similar role in a Health Maintenance Organization (HMO) will be an added advantage
  • Candidate must have advanced knowledge of NHIS regulatory guidelines, Medical Global Best Practices, Health Insurance, Products and Processes, and Scheme Rules
  • Excellent organizational, communication (verbal and written), listening skills and attention to detail.
  • Candidate must be very proficient in Microsoft office packages

Other Requirements:

  • Good organizational and planning capabilities
  • Innovative and quick thinking capabilities
  • Innovativeness
  • Adaptive
  • Decision Making skills
  • Integrity
  • Ability to work under pressure
  • Adaptive, expertise, Result-Oriented, Relationship Skill
  • Working with people
  • Must be a good collaborator/Team player

Location: Lagos

Closing Date
25th January, 2017.



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