Claims Executive at MetroHealth HMO Limited

MetroHealth HMO Limited is a licensed Health Maintenance Organization based in Lagos, Nigeria, established to provide accessible and affordable healthcare services. It offers health insurance plans for individuals, families, and corporate organizations. The company operates a wide network of accredited hospitals and healthcare providers nationwide. Its services include outpatient and inpatient care, maternity, emergency services, and telemedicine support. MetroHealth HMO leverages technology to improve healthcare access, efficiency, and customer experience.

We are recruiting to fill the position below:

Job Title: Claims Executive

Location: Lagos

Job Summary

• We are seeking a qualified and experienced Claims Executive to join our dynamic team.
• The Claims Executive will be responsible for claims processing, vetting, analysis, reconciliation, and ensuring timely and accurate claims administration in line with organizational standards.

Key Responsibilities

• Vet and process provider claims accurately and promptly
• Review claims for compliance with benefit plans and tariffs
• Liaise with healthcare providers on claims-related issues
• Conduct claims reconciliation and reporting
• Identify discrepancies and recommend corrective actions
• Ensure adherence to internal policies and regulatory requirements

Requirements

• Must be a Registered Nurse (RN) with relevant professional certification
• Minimum of 3 years’ relevant experience in the HMO/Health Insurance space
• Strong knowledge of medical claims processing and tariff interpretation
• Good understanding of NHIA guidelines and healthcare claims management
• Excellent analytical and reconciliation skills
• High level of accuracy and attention to detail
• Proficiency in Microsoft Office and claims management systems
• Strong communication and interpersonal skills.

Application Closing Date
10th June, 2026.

How to Apply
Interested and qualified candidates should send their CV and cover letter to: aoseji@metrohealthhmo.com using the Job Title as the subject of the mail.

Note: Only candidates with proven HMO experience and nursing qualifications will be considered.