Claims Officer
Posted on :
25-01-2024
Employer Active
1 Vacancy
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Job Description
Req ID : 2475323
- Adjudicate and process Claims within the agreed company SLA - clear to zero, in accordance with policy benefits to facilitate the company achieving its loss ratio target
- Use AWC’s client database accurately and effectively to ensure reports generated give a true reflection of the department’s workload, which consequently facilitates effective target planning
- Operate within and meet the conditions of company service standards, clear to zero, to guarantee customer satisfaction and retention
- Contribute to the team and departmental productivity targets so that the agreed SLA is achieved and a high level of customer service is provided.
- In line with the company’s policy on cost containment identify duplicate payments, possible non-disclosure and fraudulent claims
- Respond to customer enquiries accurately and professionally and if necessary, liaise with other departments for support to ensure an efficient and professional response is given thereby achieving customer satisfaction
- Participate in departmental medical training to expand knowledge of medical terminology and procedures and to develop comprehensive claims processing skills
- Other Ad hoc duties as required
Employment Type
Full Time
Department / Functional Area
Key Skills
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