Claims officer

Your tasks

• Review and process medical claims
• Verify clinical records and treatments
• Ensure compliance with approved benefits
• Identify billing discrepancies
• Liaise with healthcare providers
• Maintain accurate claims documentation to support efficient claims management.

Requirements

• Registered Nurse (RN) qualification
• Valid professional licence
• Relevant clinical experience
• Strong analytical skills
• Good communication
• Computer skills
• Experience in HMO or healthcare claims management is an advantage.