Job Information
Supervisor – Claims Payments
Company Information
Job Information
Company
Sagicor Jamaica
Website
https://www.sagicor.com/
Contact Name
Contact Email
sagicorjobs@careerjamaica.com
Job Type
Full-time
Department
Sagicor Life Jamaica Ltd.
Category
Insurance
Posted
21-01-2023
Job Status
Start Publishing
21-01-2023
Stop Publishing
27-01-2023
[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 Group Insurance Services (Client Care) team in the capacity of: Supervisor – Claims Payments
Location: Kingston
As A Supervisor – Claims Payment, you will:
- Accurately adjudicate and issue payments for claims up to a limit of $1,000,000.
- Supervise activities of team members within the unit, ensuring that productivity standards are met and maintained.
- Adjudicate and initiate payments of claims for dental, optical, medical, maternity and surgical claims up to a stipulated limit:
- Input information related to the processing of all health claims including provider number, service, diagnosis codes and approve assigned categories of claims.
- Screen claims for eligibility.
- Initiate payment of claims.
- Prepare Claim Review worksheet on claims for the review of the Manager.
- Release overlimit claims up to a stipulated limit.
- Monitor and supervise claims activities within teams.
- Dispatch claims to the unit team members.
- Screen claims to ensure eligibility and to eliminate fraud.
- Identify and recommend team training programmes.
- Assist with the selection process for awarding incentives to high achievers.
- Prioritize work assignments and set completion dates for department.
- Evaluate performance and provide on-the-job training to team.
- Analyze weekly productivity reports for discussion with Adjudicators and for
- submission to the Manager.
- Perform any other duties assigned.
What do you need?
- Bachelor’s Degree in Natural Science or relevant discipline from a recognized tertiary institution.
- At least three (3) years’ working experience in Health Claims processing.
- Sound supervisory skills.
- Good time management and customer relations skills.
- Sound knowledge of computer software packages, including word processing and spreadsheet 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 27, 2023.
While we appreciate all applications, only shortlisted candidates will be contacted.
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