Join Our Operations Team (PEC, CRM, Membership, Claims)

Are you a dynamic individual with a passion for operations? Look no further – we have multiple openings within our Operations Department, and we're on the lookout for top talent to join our growing team!

Medical Vetting and Coding Officer, PEC Cluster - Qualifications & Experience and Responsibilities :

1. HSC
2. Diploma in Nursing will be an advantage
3. Familiarity with ICD Codes and Procedures
4. 1-2 years' experience in Coding or Nursing
5. Good knowledge of Microsoft Office
6. Ability to work in complete confidentiality

•  Vetting of claims and ICD 10 Coding
• Compliance with all statutory medical guidelines/rules and regulations
• Follow up of inpatient cases to ensure there are no deviation from what has been authorised
• To detect fraudulent/exaggerated claims
• Coordination and monitoring of Health Care Services.

Operations Officer, Membership Cluster - Qualifications & Experience and Responsibilities :

• SC/HSC/Diploma
• Certificate in Finance/ Management/
• Law/ CII will be an advantage;
• Good knowledge of Microsoft Office, specifically Excel tool;
• 1 to 3 years' experience in the Insurance sector will be an advantage;
• Curious, Eager to learn, Team Player

1. Processing of new policies along with changes to be brought to existing ones;
2. Evaluating the risk associated with the application forms received by both data capturing information on a dedicated platform and querying-up same with members;
3. To prepare, send and process renewals of policies;
4. Attending queries and handling complaints from both internal and external parties;
5. Any other cognate duties.

 CRM Officer, CRM Cluster - Qualifications & Experience and Responsibilities :

• HSC;
• Certificate in Communication and CRM Service;
• 1-2 years’ experience in Customer Service with emphasis on fluent French and English
• speaking;
• Good English and French Writing;
• Good knowledge of Microsoft Office;
• Excellent service, pleasant personality, tactful and helpful;
• Professional appearance;
• Ability to work in complete confidentiality.

1. Attend to requests and queries from customers related claims and membership via the phone, by email or in person at the Reception Desk;
2. Ensure all calls are answered and logged in the company’s system;
3. Ensure that all emails are attended within 24 hours, logged, and follow up of all queries and complaints done timely.