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Role Title: |
Senior Claims Analyst - 1 Post |
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Business Unit(s): |
Rwanda |
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Business /Function: |
Senior Claims Analyst |
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Location: |
Rwanda-Kigali |
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Reports To: |
Health Manager |
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MDP Level: |
Manager of others |
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Role Size |
M |
JOB SUMMARY
To ensure prompt settlement of medical claims within the Company’s policy terms and
conditions.
PRINCIPAL ACCOUNTABILITIES.
- Verify and audit outpatient and inpatient claims as per the claims manual to ensure
- compliance.
- Negotiate professional fees and hospital charges including discounts to control
- expenditure.
- Oversee processing & settlement of all claims and authorize requisitions.
- Develop and maintain service provider panels by holding regular business meetings with key service providers
- Supervise train and mentor staff.
- Monitor, prevent and control medical claims fraud by making necessary visits to service providers as situations require
- Prepare regular claims reports to clients, management and advice underwriter health on relevant claims findings for medical risk review.
- To perform any other task that may be assigned by his superior.
Qualifications and experience
- University Degree in Medicine or Health related.
- Basic Insurance qualification.
Skills and competencies
- Good communication and negotiation skills.
- Good public relations and interpersonal relationship skills.
- Extensive networking with SP and other medical insurers
- Good analytical and monitoring skills
- User IT skills in database management and office systems.
- Good decision-making skills.
- Integrity and honesty.
Please visit our careers page through:
Interested candidates are requested to submit their applications by 5.00 p.m. 15th September 2025.
Applicants must possess or be in the process of applying for a POLICE CLEARANCE CERTIFICATE as at the time of making an application.
ONLY short-listed candidates will be contacted.