We are looking for a Claims Assessor – Medical Aid Administration.
The role is responsible for assessing and processing of claims submitted for various medical schemes.
Duties and Responsibilities
- Accurate processing and assessing of all paper and EDI claims.
- Quality control claims assessed by other assessors as required
- Process reversals and corrections on claims as required within the payment run dates.
- Assist in general office duties such as customer queries, account reconciliations, claims checking.
- Obtain information on all new processes, products, and industry matters daily.
Required profile for job ad : Claims Assessor – Medical Aid Administration - Namibia
Minimum Qualifications and Experience Required
- Grade 12 / Matric
- Minimum of 3 or more years’ experience in claims processing and assessing
- Experience in the medical scheme and healthcare sector.
Technical and Behavioural Competencies
- Knowledge of claims coding practices
- Telephone etiquette
- Computer skills and ability to navigate through software applications.
- Ability to multitask
- Problem solving skills Language
Language Requirements
- Excellent proficiency in English (Reading, Writing and Speaking).
Computer Literacy
Proficiency with the following programmes is required:
- MS Word
- MS Excel
- MS Outlook / email
- MS Explorer / Internet
Remuneration
- A competitive salary and benefits will be negotiated, consistent with experience and the role and responsibilities of the position.
The Employment Equity approach of Universal Healthcare broadly aims to:
- Foster diversity in the workplace.
- Promote equal opportunity and fair treatment in employment through the elimination of all forms of unfair discrimination.
