Description:
Map trends and provide reports on various medical schemes
Support quality assurance of health care providers
Support case management – maintain trackers for proactive intervention, reporting and cost management
Enforce claims management SLAs and manage relationship with vendors
Implement innovative ideas on bill management and guide management/educate staff on measures that will reverse negative trends
Support prompt resolution of staff issues
Support International evacuation of employees and dependants when applicable
Provide pre-travel support for employees on international assignment
Support implementation of pre-employment within company approved timelines.
Implement Expatriate management health care services
Support sick leave tracking, investigation and reporting
Support chronic sick leave implementation and monitoring and lost time monitoring
Support management of MTNN work-site clinic
Contribute to the monthly employee services operational report.
Prepare monthly bills for management approval – vet, analyse, compile monthly bills in approved format
Education
Registered Nurse/BSc Nursing
Fluent in English
Experience
3 – 7 years of work experience from a reputable organisation
Experience in claims management
At least Intermediate proficiency in the use of Microsoft Office suite i.e. Word, Excel, PowerPoint etc.