MetroHealth HMO Limited is a major Nigerian health insurance technology firm that provides unparalleled tech-driven comprehensive primary, secondary, and tertiary health insurance services throughout the country.
We’re on Twitter! 🌟Follow us at @Boacompany to
— BOA Construction Company (@Boacompany) December 4, 2024
become part of our growing community.
MetroHealth HMO uses a powerful data analysis method to establish pricing for health insurance services provided to its valued enrollees.
MetroHealth HMO Limited core values are:
Innovation, integrity, nimbleness, excellence, reliability and teamwork.
Who We Are:
With effective technology, we provide our members with seamless access to superior healthcare services.
Are you in need of Scholarships? Check out this Fully Funded Ongoing Scholarship at Ifuture Connect
We invite applications from interested and qualified candidates to apply for the Graduate Job at MetroHealth HMO Limited.
READ ALSO: Tips for Standing Out in an Interview
Job Specifications:
- Full Time
- Required Qualification: BA, BSC, or HND
- Location: Lagos, Nigeria
- Join this WhatsApp group to receive a prompt job update. Click HERE
Are you in need of Scholarships? Check out this Fully Funded Ongoing Scholarship at Ifuture Connect
Introduction to the Position
Role Description
- The Medical Claims Specialist would be 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.
Are you in need of Scholarships? Check out this Fully Funded Ongoing Scholarship at Ifuture Connect
Experience and credentials:
Requirements
- Minimum of a first degree in nursing or pharmacy or a related discipline.
- Previous experience as a claims officer is a major requirement.
- Excellent numeracy, analytical and problem-solving skills.
- A high-level of responsiveness is essential .
- Strong medical and clinical knowledge and experience.
- Excellent interpersonal and communication skills.
Salary
N250,000 – N300,000 Monthly.
Method of application:
Interested and qualified candidates should send their CVs to: [email protected] using the job title as the subject of the mail. (Tip: Learn Get Hired Fast: Secrets to Creating a Winning CV)
Deadline: 7th of April, 2025.
Join this WhatsApp Group to receive Prompt Updates
Are you in need of Scholarships? Check out this Fully Funded Ongoing Scholarship at Ifuture Connect