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Junior Claims Assesor Temporary (1 month)
Job Location:
Monthly Salary:
Experience Required:
Posted:
1 July 2026 (30+ days ago)
Posted:
Application Deadline:
28 September 2026
Application Deadline:
Vacancies:
1 Vacancy
Vacancies:
Job Summary
- Verify and analyze all data on claims/cases and ensure these meet the project objectives as well as payer expectations for the various projects.
- To send back simple yet detailed feedback to the provider team where claims/cases do not meet the project expectations.
- To ensure any general trends or inconsistencies noted are reported to the operations and provider teams.
- Timely assessment of claims and cases submitted by the providers ensuring the queries raised are understood and following up with the provider team to ensure they are resolved.
- Provide support to the customer call center to address medical queries that have been escalated to CarePay.
- Document and be able to extract present or discuss provider practices or disease trends.
- Deliver feedback and training aimed at addressing the trends picked from the claims/case assessment exercise.
- Mapping generic rules to medical services procedures drugs and lab tests.
- Participate in testing and documentation of selected CarePay systems.
- To perform all other duties as assigned by the supervisor.
Requirements
Degree / Diploma in Clinical medicine or Nursing.
Good understanding of private and public healthcare delivery.
Have a strong understanding of medical treatment protocols and cost-effective prescribing habits in relation to market segmentation.
At least 2 years experience in a busy hospital set-up. (Experience in insurance will be an added advantage).
Required Skills:
Degree / Diploma in Clinical medicine or Nursing. Good understanding of private and public healthcare delivery. Have a strong understanding of medical treatment protocols and cost-effective prescribing habits in relation to market segmentation. At least 2 years experience in a busy hospital set-up. (Experience in insurance will be an added advantage).
Required Education:
Degree/Diploma in Clinical Medicine/Nursing
