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Madison Money Market Fund Daily Yield: 13.46% Effective Annual Yield: 14.41% Madison Fixed Income Fund Daily Yield: 11.59% Effective Annual Yield: 12.29% Madison Wealth Fund Weekly Average Daily Yield: 14.28% Weekly Average Effective Annual Yield: 15.35%

Madison General Insurance Kenya Limited, a subsidiary of Madison Group and a leading provider of general insurance products throughout Kenya, is recruiting for the above position.

Claims Supervisor - Healthcare Division

Key Responsibilities

• Post vetting of claims within set benchmarks to ensure they are within scope of cover.
• Authorizing claim payments within the agreed financial limits.
• Generate outpatient claim analysis reports and make recommendations to management on areas of improvement
• Oversee the claims data entry, adjudication and processing of health provider and re-imbursement claims, ensuring data accuracy, completeness, and compliance with regulations.
• Responding to queries raised by service providers and customers within 24 hours and handling claim appeals and resubmissions.
• Ensure all claims for service providers are ready for payment within the set timelines for the specified providers.
• Facilitation of monthly service provider reconciliations with the vetting team within agreed timelines and provided allocation.
• Enhancing good relationship with service providers through excellent customer service.
• Ensuring team work through supervision of assigned staff at vetting level.
• Any other duties that may be assigned thereof.

Skills and Competencies Required

• Knowledge on health insurance benefits
• Knowledge on treatment protocols
• People management skills of both external and internal partners
• Customer Focus
• Continuous Innovation
• Ownership & Commitment
• Team player
• Strong organizational skills
• Basic computer skills
• Excellent communication and multi-tasking skills

Experience, Academic and Professional Qualifications required

• At least 4 years’ experience in healthcare services delivery setup.
• Bachelor’s degree in Nursing, Clinical Medicine or any other medical related field.
• A valid practice license.
• At least 2years experience as a team leader in healthcare services delivery or Medical Insurance setup will be an added advantage.
• Diploma in insurance is an added advantage

Applications should be addressed to the Group Human Resources Manager, Madison Group Limited, Email: hr_recruitment@madison.co.ke so as to be received by Sunday 24th November, 2024.

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