Job Information
Job Information
New!
Claims Adjudication Associate – Manual Payment
Company Information
Company
Sagicor Jamaica
Website
https://www.sagicor.com/
Contact Name
Contact Email
sagicorjobs@careerjamaica.com
Job Type
Contract
Department
Sagicor Life Jamaica Ltd.
Category
Administrative
Posted
07-01-2025
Job Status
Start Publishing
07-01-2025
Stop Publishing
11-01-2025
[Kingston,Jamaica ]
Description
"Looking for a diverse and rewarding career? If you're looking to grow your career within a stable and growing financial services company, then Sagicor may be right for you!"
Sagicor Life Jamaica Limited is seeking a suitable candidate to join our Insurance Operations Services – Claims Management team in the capacity of:
Claims Adjudication Associate – Manual Payment
Location: Kingston
As a Claims Adjudication Associate, you will:
- Accurately adjudicate and issue payments for claims up to a limit of $50,000.
- Adjudicate on all categories of payments for subscriber claims as required.
- Input information related to the processing of all health claims including provider number, service, diagnosis codes and approve assigned categories of claims.
- Initiate payment of claims.
- Prepare required over-authorization forms for claims exceeding $50,000.
- Report questionable claims or claims with unusually high charges.
- Prepare productivity reports for submission to supervisor.
- Perform other related duties assigned from time to time.
What do you need?
- Minimum of an Associate Degree or equivalent qualification from a recognized institution.
- Minimum of one (1) year working experience in processing Health Claims.
- Successful completion of the HIA parts 1&2 designation would be an asset.
- Excellent oral and written communication skills.
- Good time management and client relations skills.
- Sound knowledge of software applications including spreadsheets and word processing applications.
- Basic knowledge of medical terminologies.
- Working knowledge of Group Life and Health Insurance operations.
If this role is of interest to you, kindly submit an application via Sagicor's career portal no later than January 10, 2025
While we appreciate all applications, only shortlisted candidates will be contacted.
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