MEDICAL CLAIMS ASSESSOR
Full Time
May 6, 2024
Lilongwe, Malawi
May 17, 2024

Company: Wella Medical Aid Society Ltd (WEMAS)

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Overview

INTRODUCTION

Wella Medical Aid Society Ltd (WEMAS) is the most innovative and fastest growing health insurance company in Malawi. The company has its Head Office in Lilongwe and Branch Offices in Blantyre and Mzuzu.

An opportunity has risen for highly motivated, competent and result oriented individuals to fill vacant positions as Retail Sales Officer, Customer Service Assistant and Claims Assessor based in Blantyre, Lilongwe and Mzuzu.

MEDICAL CLAIMS ASSESSOR – BASED IN LILONGWE

 

Duties & Responsibilities

  1. Claims assessment – strict application of approved fund rules
  2. Healthcare provider network creation and management
  3. Continuous review and application of fund rules
  4. Support to the system technical team from the business side
  5. Supervision of the claims department team
  6. Claims analytics and reporting
  7. Any other duties as may be assigned from time to time

 

Qualifications:

  1. A minimum of Diploma in General Nursing or equivalent
  2. Higher qualifications in the healthcare delivery field will be an added advantage

 

Skills, Attributes and Experience:

  1. At least 3 years’ hands on experience in general nursing services in a recognised healthcare delivery facility
  2. Experience working in Medical Insurance in a claims department role will be an added advantage
  3. Strict attention to detail
  4. Negotiation skills
  5. Open minded and willing to learn

 

Submission

Interested candidates should submit their applications by email ONLY to: recruitment@wemasmw.com indicating on the e-mail heading the position being applied for and the preferred place of work eg. Medical Claims Assessor - Lilongwe.

Please take noted that only the shortlisted applicants will be acknowledged.

Our Postal Address is:

The Chief Executive Officer,

Wella Medical Aid Society Ltd,

P O Box 2343,

LILONGWE.

Closing date for receiving applications is Friday, 17th May 2024.