Claims Officer at the Kwara State Health Insurance Agency (KW-HIA)

Kwara State Health Insurance Agency (KW-HIA) - Kwara State Government in Its effort to build upon the successes of the Community Health Insurance Scheme and ensure that universal quality healthcare coverage is available to all the Inhabitants of Kwara State, Irrespective of their financial means and socio-economic status enacted the Kwara State Health Insurance Scheme Law 2017.

In furtherance to the launch of the Kwara Health Insurance scheme on the 12th of July 2018, the services of top-notch employees with skills, Integrity, and professionalism are needed in the agency to achieve the State's vision.

Application are therefore invited from suitably qualified candidates for the position below:

Job Title: Claims Officer

Location: Kwara
Department: Operations
Reports to: Senior Operations Manager

Responsibilities
The responsibilities of the Claim Officer includes:

• Approve vetted claims submitted by Thrd Party Administrators
• Investigate Incidences of rejected claims and partially approved claims
• Conduct claims adjudication with affected providers on behalf of the Agency
• Prepare periodic progress report on claims payment for the department
• Monitor Scheme performance indicators on claims payment ratio, turnaround time for capitation and claims payment etc.

Minimum Education & Years of Experience

• MBBS, M.Sc/MBA (Added advantage)
• 5 years in operation
• This position requires proficiency in Microsoft tools and strong interpersonal and communication skills.

Application Closing Date
Not Specified.

Method of Application
Interested and qualified candidates should describe how they meet all the above criteria in a Cover Letter to be submitted along with an updated CV to: [email protected]

Note: The KWSG is an opportunity employer. We.encourage absolutely all persons who believe they have the technical merit as well as deep understanding of the purpose and intent behind the creation of KW-HIA, and enjoy a challenge, to apply and be considered. Women are especially encouraged.