Claims Manager Medical Uganda job at Old Mutual
951 Days Ago
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Vacancy title:
Claims Manager Medical Uganda

[ Type: FULL TIME , Industry: Finance , Category: Management ]

Jobs at:

Old Mutual

Deadline of this Job:
18 November 2022  

Duty Station:
Within Uganda , Kampala , East Africa

Summary
Date Posted: Monday, November 07, 2022 , Base Salary: Not Disclosed

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JOB DETAILS:

Job Description

• To ensure that general insurance claims are handled expeditiously and in a professional manner thereby meeting the customer expectations and the Company's Corporate Objectives.
• Constantly monitor the claims processes and procedures are maintained at all times and ensure compliance to QOP and ISO 9001.
• Ensure that quality and timely service is offered to customers and that we maintain a cordial relationship with our customers.
• Constantly review reserves and ensure that adequate the estimates maintained are as accurate as possible and reflect the prevailing economic, legal and social environment.
• Budget sufficient financial resources for the department, monitor and control the internal costs of running and ensure that the department operates within the set budget.
• Oversee the claims process flows to ensure efficiency in processing of claims as per the company medical claims procedure manuals
• Verify and audit of outpatient claims as per the claims manual and customer service charter manual and customer service charter manual to ensure compliance and mitigate risk
• Negotiate professional fees and hospital charges including discounts to control expenditure
• Overseeing processing, settlement of all claims and authorize requisitions
• Holding regular business meetings with service providers to ensure compliance on contract terms, use of agreed systems and agreed tariffs
• Monitor, prevent and control medical claims fraud by carrying out regular audits on the internal and external systems/ processes as well as providers
• Supervise, train and mentor medical claims staff to achieve a high level of motivation and productivity by the team
• Prepare regular claims reports to clients, management and advice underwriter health on relevant claims findings for medical risk review


Education Requirement: No Requirements

Job Experience: No Requirements

Work Hours: 8

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Job Info
Job Category: Management jobs in Uganda
Job Type: Full-time
Deadline of this Job: 18 November 2022
Duty Station: Kampala
Posted: 07-11-2022
No of Jobs: 1
Start Publishing: 07-11-2022
Stop Publishing (Put date of 2030): 07-11-2066
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