Claims Operations Associate at Reliance Health (Remote)

Reliance Health uses Technology to Make Healthcare Accessible and Affordable. Through an integrated approach that includes affordable health insurance, telemedicine, and a combination of partner and proprietary healthcare facilities, Reliance Health offers innovative healthcare solutions that meet the needs of emerging markets.

We are recruiting to fill the position below:

Job Title: Claims Operations Associate

Location: Lagos (Remote)
Employment Type: Contract

Job Description

• The Claims Operations Associate is responsible for managing claims and approvals processes, and the scope of work includes vetting health insurance claims and approval from service providers, reconciling payments and negotiating and uploading claim tariffs.

Key Responsibilities

• Examine and approve or reject healthcare providers’ claims to meet set targets.  
• Investigate claims for fraud, waste, and abuse.  
• Promptly resolve escalated approval requests for care.  
• Negotiate tariffs and update the providers’ dashboard and execute other elements of tariff management.  
• Collaborate with the technology team to improve the processes claims, tariff and approvals management system.  
• Collaborate with customer success and provider relations teams to ensure customer satisfaction goals.

Requirements

• Minimum of a First Degree in Medicine, Nursing or Pharmacy and completion of internship or houseman ship.  
• Previous experience in a claim examiner role is a major advantage.  
• Excellent numeracy, analytical and problem-solving skills.  
• A high-level of responsiveness is essential and openness to working shifts including occasional weekends.  
• Strong medical and clinical knowledge and experience.  
• Excellent interpersonal and communication skills. 

Benefits
At Reliance Health, we prioritize our people and their well-being. Our benefits package is designed to support your success, growth, and happiness. Here’s what you’ll enjoy:

•  Competitive Salary (N250,000 - N350,000 Monthly) and Benefits
• Hybrid, Flexible Environment
  Experience the best of both worlds with our hybrid setup—work from home when you need focus, and connect with a vibrant, collaborative team in the office.
• We offer a salary that’s benchmarked against the best in the industry, ensuring your expertise and impact are fully rewarded.
•  Premium Health Insurance
  Comprehensive health coverage for you and your family, because your well-being comes first.
•  Unlimited Leave
  Take the time you need when you need it—no limits, no questions.
•  Meaningful Impact
  Play a key role in transforming customer experiences and shaping healthcare innovation.
•  Collaborative Work Culture
  Join a supportive, inclusive, and team-focused environment that celebrates diversity.
•  Growth Opportunities
  Access tools, mentorship, and resources to elevate your skills and career.
•  Learning & Development Allowance
  We provide an allowance to support your ongoing professional growth and skill enhancement.
• This is more than a job—it's a chance to grow, thrive, and make a real difference. At Reliance Health, your journey matters.

Application Closing Date
Not Specified.