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Join Our Operations Team
- Plaines Wilhems
- Not disclosed
- Posted Aug 5, 2026
- Closing 04/09/2026
- Insurance
- Insurance Jobs
- Operations Roles
- Full Time Insurance
- Join Operations
Job Description
Medical Vetting and Coding Officer - Qualifications, Experience and Responsibilities:
- HSC
- Diploma in Nursing will be an advantage
- Familiarity with ICD Codes and Procedures
- 1-2 years' experience in Coding or Nursing
- Good knowledge of Microsoft Office
- 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
- Processing of new policies along with changes to be brought to existing ones;
- Evaluating the risk associated with the application forms received by both data capturing information on a dedicated platform and querying-up same with members;
- To prepare, send and process renewals of policies;
- Attending queries and handling complaints from both internal and external parties;
- 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.