Total Health Trust Limited (THT), a Health Maintenance Organization (HMO), is recruiting to fill the position of Claims Assessor in Lagos

Job Description

• To vet all claims pertaining to either the managed care or Blue product to ensure that the daily targets are achieved
• To capture all claims pertaining to either the managed care or Blue products to ensure that the daily targets are achieved
• Send out cheques to providers within the agreed SLA
• To ensure all Claims correspondence to providers or members are sent out timeously
• To adhere to and live the organisational values.

• Candidate must be a Registered Nurse, Midwife or possess a B.Sc. Nursing with valid license.
• Candidate must have a minimum of Credit or Second Class Upper Division and additional medical qualification will be an added advantage
• Candidate must have minimum of 1 year clinical experience and experience in similar role in a Health Maintenance Organization (HMO) will be an added advantage
• Candidate must have advanced knowledge of NHIS regulatory guidelines, Medical Global Best Practices, Health Insurance, Products and Processes, and Scheme Rules
• Excellent organizational, communication (verbal and written), listening skills and attention to detail.
• Candidate must be very proficient in Microsoft office packages

• Good organizational and planning capabilities
• Innovative and quick thinking capabilities
• Innovativeness
• Adaptive
• Decision Making skills
• Integrity
• Ability to work under pressure
• Adaptive, expertise, Result-Oriented, Relationship Skill
• Working with people
• Must be a good collaborator/Team player

How to Apply
If interested and qualified, click here to apply on or before 2nd January, 2018.