Claims Officer / Care Coordinator in Lagos, Nigeria

at Box & Cedar

Human Resources
Banking / Finance / Insurance
Minimum Qualification
Bachelor's Degree
Required Experience
1 - 3 years
Employment Type
Full Time
Male or Female
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Job Description

Job Description:

  • Analysing and processing of NHIS fee-for-service claims
  • Checking enrollee status and approval
  • Vetting bills according to NHIS tariff
  • Noting discrepancies on the bills and writing or return of claims to affected provider
  • Posting of issued cheques for paid claims
  • Attachment of bill analysis to paid claims
  • Filing of all paid claims
  • Computerized processing of NHIS data.
  • Assisting in processing NHIS capitation
  • NHIS registration of enrollees
  • Visitation of NHIS providers / parastatals
  • Documenting / imputing of NHIS primary providers bank details
  • Giving of approvals to secondary providers for NHIS enrollees
  • Payment of NHIS providers capitation to banks
  • Notification through correspondences and calls to NHIS providers on payment of capitation to their bank account
  • Filing acknowledgement copies/receipts of capitation
  • Attending to calls on NHIS enrollee providers
  • Attending to NHIS enrollee complaints on omission of names or changes in ID cards (Registration)
  • Assisting in enrollee enlightenment on the operation of NHIS
  • Other duties as assigned
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