myjob logo

Search by job title, skills, company or browse by categories.

Join Our Operations Team

Full-time
  • Plaines Wilhems
  • Not disclosed
  • Posted Aug 5, 2026
  • Closing 04/09/2026
  • Insurance
  • Insurance Jobs
  • Operations Roles
  • Full Time Insurance
  • Join Operations

Share:

Job Description

Medical Vetting and Coding Officer - 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 - 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 - Claims - Qualifications, Experience and Responsibilities:

  • HSC
  • Minimum 6 months’ operational
  • Experience in customer relations
  • Basic computer literacy, including MS Office
  • Customer-centric approach
  • Knowledge of processes within own area of responsibility
  • Strong administrative skills
  • Accurate data capturing skills
1. Query attendance - Attend to all member queries received (either telephonically, via email or through walk-in centre) and provide basic information as required such as log-in details, benefits etc. Direct queries out of scope to the relevant department. Obtain outstanding information from members in respect of return claims.
2. Pre-authorisation - Provide providers with pre-authorisation in respect of optical claims.