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Kampala, Uganda
Full-time
Deadline:
14 Dec 2023
About the Organisation
A subsidiary of CIC Insurance Group (PLC), CIC General Insurance (U) Ltd is one of the leading insurance service providers in the region. With our head office is in Kampala and regional offices in Kasese, Mbarara, Mbale, and Kampala Town Office, we are serving a wide range of customers from Cooperatives to Corporates, SMEs, NGOs, Government entities, and individuals. We offer a wide range of insurance and financial solutions through the co-operative spirit. Our insurance policy packages protect our client’s businesses giving them peace of mind to grow their wealth and achieve their financial goals. In all we do, we keep our word, a testament to our commitment to honor genuine and valid claims from all our clients.
Job Title
Senior Claims Officer – Medical job at CIC General Insurance (U) Ltd
CIC General Insurance (U) Ltd
Job Description
Responsible for overseeing the entire claims processing, which includes receiving, vetting, and capturing for payments, to ensure prompt settlement of valid claims.
Duties and Responsibilities
PRIMARY RESPONSIBILITIES:
Supervise and monitor claims Vetting and Processing.
Coordinate with the claims team to ensure all providers are paid on time.
Investigate and follow up claims with unusual trends and high-cost providers.
Approve payments for all executed discharge vouchers for amounts within specified limits.
Coordinate correspondence with providers and clients on any claims concerns.
Coordinate with the accounts team to ensure provider reconciliation is done.
Coordinate with provider management to appoint, terminate, and suspend providers into/from the CIC panel.
Communicate risk improvement measures for implementation to the underwriting department by monitoring claims experience trends.
Compile monthly claims reports Mission Status Reports (MSR) and review, analyze, approve, and/or repudiate claims.
GENERIC DUTIES
Carry out performance appraisal, coaching, and mentoring staff.
Participate in planning and budgeting for the department.
SERVICES
COMMERCIAL
SERVICES
INDUSTRIAL
SERVICES
RESIDENTIAL
SERVICES
COMMERCIAL
SERVICES
INDUSTRIAL
SERVICES
RESIDENTIAL
SERVICES
COMMERCIAL
SERVICES
COMMERCIAL
SERVICES
COMMERCIAL
SERVICES
COMMERCIAL
SERVICES
INDUSTRIAL
SERVICES
RESIDENTIAL
Qualifications and Competencies
PERSON SPECIFICATIONS
Bachelor’s degree in a related field.
Professional Qualifications
Uganda Registered Nursing (URN) diploma
Experience
Minimum of five (5) years relevant experience
Essential Knowledge/Skills and Experience Required:
Superior negotiating skills
Excellent communication skills
Strong management and leadership skills
Relationship management
Excellent customer care
Technical competence in insurance
Basic knowledge of regulations by UIA and IRA(U)
Essential Behavioral Competencies:
People management
Good coaching skills
Commercial awareness
Strong leadership skills
Outstanding cross-functional coordination ability
Ability to “constructively dissent”
Ability to build strong relationships across the organization
CIC Insurance Values:
CIC Insurance Group is committed to providing excellent service and spurring further growth, and employees must align their behavior to the following core values as critical to driving their performance.
Integrity- Be fair and transparent
Dynamism- Be passionate and innovative
Performance- Be efficient and results-driven
Co-operation- Live the Co-operative spirit
How to Apply
If you have the aforementioned professional and academic qualifications and you are ready to execute the above mandate, kindly send your resume to the address below indicating on the subject of your email the job title. For example Ref: Application for Assistant Care Manager – Medical.
Strictly apply through email: careers@ug.cicinsurancegroup.com
The application should reach us by close of business on 14th December 2023. Please note that only short-listed candidates will be contacted.
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