Old Mutual Insurance Rwanda (former UAP Insurance Rwanda) is a subsidiary of UAP Old Mutual Group, member of Old Mutual Limited, an Integrated financial service provider comprising Insurance, Banking, and Investment Business. Old Mutual insurance Rwanda vision is being the Rwandan’s revolutionary financial services company with a commitment to enhance the quality of life by delivering peace of mind and financial freedom

Website: https://www.oldmutual.rw/

Role Title:

Medical Claims Analyst – 1 Post

Business Unit(s):

Rwanda

Business /Function:

Medical Claims Analyst

Location:

Rwanda-Kigali

Reports To:

Senior Claims Analyst

MDP Level:

Manager of Self

Role Size

L

JOB SUMMARY

To ensure prompt processing of medical claims.

PRINCIPAL ACCOUNTABILITIES.

  • Manage Claims Ratio as per target
  • Use claims tariff during claims payment and signing with providers
  • Prompt claims settlement as per agreement with providers
  • Reconcile service provider account and close issues arising
  • Enhance claims documentation for better adjudication
  • Pharmacy claims management
  • Smart claims monitoring
  • Major provider management
  • Contain Optical claims
  • Reduce drug cost through implementation of Pharmacy Book
  • Claims vetting and adjudication
  • Effective communication
  • Provider and customer Email management
  • Complaints resolution time
  • Management of reimbursement Claims
  • Compliance to Procedure Manuals
  • Ensure complete and efficient implementation of e-Oxygen and its integration with other systems.
  • Departmental meeting
  • Process reviews yearly
  • Individual Performance management
  • Report your duties monthly on time (on 5th of the month)
  • Any other task as assigned by your Line Manager

Qualifications and experience

  • University degree in health-related field
  • Basic Insurance qualification

Skills and competencies

  • Good communication and negotiating skills
  • Good attention to details and accuracy
  • Good analytical and monitoring skills
  • User IT skills in database management and office systems.
  • Good interpersonal skills
  • Thorough understanding of policy covers/wordings and their interpretation as pertaining to claims

Integrity and honesty

Please visit our careers page through: 

https://oldmutual.wd3.myworkdayjobs.com/en-US/Old_Mutual_Careers/details/Claims-Analyst_JR-58805?q=rwanda

Interested candidates are requested to submit their applications by 5.00 p.m. 1st October 2024.

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.

Apply