UAP Group is a pan-African Financial Services Group with interests in Insurance, Investment Management, Property Investment, Securities Brokerage and Financial Advisory.
Adress: Grand Pension Plaza | 7th Floor | BP 6644 Kigali, Rwanda |
Website:
http://www.uap-group.com
Old Mutual Limited (OML) is a premium African financial services group that offers a broad spectrum of financial solutions to retail and corporate customers across key markets in 17 countries. Our primary operations are in South Africa and the Rest of Africa, and we have niche businesses in Latin America and Asia. We have 12 million customers and 31,000 employees as at the end of 2017 and with over 170 years of heritage across sub-Saharan Africa, we are a crucial part of the communities we serve and broader society on the continent. The business is listed on the Johannesburg, London, Zimbabwean, Malawian and Namibian stock exchanges. The UAP Old Mutual Group comprises of three key players as a result of the acquisition of a controlling stake in Faulu in 2014 and UAP in 2015 by Old Mutual. The acquisition resulted in Old Mutual Kenya and UAP Holdings (www.uapoldmutual.com) as well as Faulu Microfinance Bank (www.faulukenya.com) forming one of the largest financial services groups with a growing footprint in East and Central Africa. The Group currently has operations in Kenya, Uganda, Tanzania, South Sudan, and Rwanda. The Group now offers customers a comprehensive and enhanced range of financial services which include Investment, Insurance, Banking, and Savings as well as a wider and more accessible distribution network. The wider group also offers broad career growth prospects for employees. It, therefore, wishes to fill the below vacant position with qualified, experienced and talented individual to strengthen its portfolio as a Pan – African Financial Services Group. The positions’ details are further outlined below;-
Role Title:
Medical Claims Analyst-1 Post
Business Unit(s):
Rwanda
Business /Function:
Claims
Location:
Rwanda
Reports To:
Senior Claims Analyst-Health
MDP Level:
Manager of self
Role Size
L
Job Summary
The role holder will help to Improve medical claims management, Medical service provider management and treating the customer fairly by addressing issues arising professionally as per guidelines and policy.
Key tasks and responsibilities
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
Major provider management
Contain Optical claims
Reduce drug cost through implementation of Pharmacy Book
Claims vetting and adjudication
Management of Intercompany claims recoveries
Provider and customer Email management
Customer and medical provider Complaints resolution on time
Management of reimbursement Claims
Ensure the complete and efficient implementation of e-Oxygen and its integration with other systems.
Report your duties monthly on time (on 5th of the month)
Academic/Professional Qualifications; experience; skills and competencies
Degree in Health-related studies (General Medicine, Nursing, Laboratory sciences, clinical medicine, and Pharmacy)
2 years ‘experience in the same role
Good communication skills/Interpersonal skills/ Computer literacy/people management skills and/or any other relevant skills.
How to apply:
Interested candidates are requested to submit the Cover Letter and the CV with 3 references by completing very carefully the following application form not later than3rd February 2020.
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.
