Executive Officer - Claims & Payments

Key Responsibilities

• Process Group Health, Group Life Claims and Refund Payments in accordance with company policies and procedures.
• Manage Inpatient and Out-Patient Health Claims Payments, ensuring compliance with relevant regulations.
• Oversee Individual Policy Payments, maintaining accurate records and resolving discrepancies.
• Reconcile Management Information Systems (MIS) with the General Ledger, identifying and addressing any discrepancies.
• Implement automation solutions with technical team to ensure a smooth and efficient workflow.
• Collaborate with relevant departments to resolve payment-related issues and improve processes.
• Prepare summaries of policy payments, providing insights to support business decisions.

Requirements

• Minimum bachelor’s degree in a relevant field (e.g., Business Administration, Finance).
• Proven experience in a similar role, preferably i...