Claims Executive

We are recruiting to fill the position below:

Job Title: Claims Executive

Location: Lagos

Job Summary

• The Claims Executive will be responsible for claims processing, vetting, analysis, reconciliation, and ensuring timely and accurate claims administration in line with organizational standards.
• We are seeking a qualified and experienced Claims Executive to join our dynamic team.

Key Responsibilities

• Conduct claims reconciliation and reporting
• Identify discrepancies and recommend corrective actions
• Review claims for compliance with benefit plans and tariffs
• Vet and process provider claims accurately and promptly
• Liaise with healthcare providers on claims-related issues
• Ensure adherence to internal policies and regulatory requirements

Requirements

• Minimum of 3 years’ relevant experience in the HMO/Health Insurance space
• Strong knowledge of medical claims processing and tariff interpretation
• High level of accuracy and attention to detail
• Must be a Registered Nurse (RN) with relevant professional certification
• Good understanding of NHIA guidelines and healthcare claims management
• Proficiency in Microsoft Office and claims management systems
• Excellent analytical and reconciliation skills
• Strong communication and interpersonal skills.

How to Apply
Interested and qualified candidates should send their CV and cover letter to: [email protected] using the Job Title as the subject of the mail.

Note: Only candidates with proven HMO experience and nursing qualifications will be considered.