Claims Analyst (Medical)
2025-07-24T08:53:53+00:00
Britam Insurance Company Uganda Limited
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https://www.greatugandajobs.com/jobs/
FULL_TIME
kampala
Kampala
00256
Uganda
Insurance
Finance, Insurance & Real Estate
2025-08-02T17:00:00+00:00
Uganda
8
Job Purpose:
To assess and process medical insurance claims efficiently and fairly in line with Britam’s policy terms and claim’s philosophy, while ensuring client satisfaction and cost containment.
Key Responsibilities:
- Verify submitted claims against policy benefits, exclusions, and limits.
- Review clinical documentation and consult with internal medical personnel where required.
- Liaise with hospitals and clients for clarifications and additional documentation.
- Identify and flag irregular, high-cost, or potentially fraudulent claims.
- Maintain accurate and timely claims records in the system.
- Timely collection of reinsurance recoveries
- Prepare claims reports and support reconciliation processes with providers.
- Support claims audits and continuous process improvement initiatives. Adherence to service levels as set out for our mutual clients
- Assess the loss ratios and ensuring that only quality business is retained.
- Maintain high standard level of customer service
- Liaise with intermediaries and direct clients on issues relating to their claims
- Perform any other duties as may be assigned from time to time
Working Relationships
Internal Relationships:
- Required to liaise and work closely with the other departments as may be necessary
External Relationships:
Knowledge, experience and qualifications required
1. Bachelor’s degree in Business Related field
2. Professional qualification in Insurance (Certificate CII,).
3. Two to four years’ experience in medical insurance claims analysis.
4. Familiarity with clinical procedures
5. Strong attention to detail and analytical skills.
6. Good communication skills and customer service orientation.
7. Experience in customer, market and competitor understanding.
8. Knowledge of Insurance regulatory requirements.
Verify submitted claims against policy benefits, exclusions, and limits. Review clinical documentation and consult with internal medical personnel where required. Liaise with hospitals and clients for clarifications and additional documentation. Identify and flag irregular, high-cost, or potentially fraudulent claims. Maintain accurate and timely claims records in the system. Timely collection of reinsurance recoveries Prepare claims reports and support reconciliation processes with providers. Support claims audits and continuous process improvement initiatives. Adherence to service levels as set out for our mutual clients Assess the loss ratios and ensuring that only quality business is retained. Maintain high standard level of customer service Liaise with intermediaries and direct clients on issues relating to their claims Perform any other duties as may be assigned from time to time
Bachelor’s degree in Business Related field 2. Professional qualification in Insurance (Certificate CII,). 3. Two to four years’ experience in medical insurance claims analysis. 4. Familiarity with clinical procedures 5. Strong attention to detail and analytical skills. 6. Good communication skills and customer service orientation. 7. Experience in customer, market and competitor understanding. 8. Knowledge of Insurance regulatory requirements.
JOB-6881f4a123cad
Vacancy title:
Claims Analyst (Medical)
[Type: FULL_TIME, Industry: Insurance, Category: Finance, Insurance & Real Estate]
Jobs at:
Britam Insurance Company Uganda Limited
Deadline of this Job:
Saturday, August 2 2025
Duty Station:
kampala | Kampala | Uganda
Summary
Date Posted: Thursday, July 24 2025, Base Salary: Not Disclosed
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JOB DETAILS:
Job Purpose:
To assess and process medical insurance claims efficiently and fairly in line with Britam’s policy terms and claim’s philosophy, while ensuring client satisfaction and cost containment.
Key Responsibilities:
- Verify submitted claims against policy benefits, exclusions, and limits.
- Review clinical documentation and consult with internal medical personnel where required.
- Liaise with hospitals and clients for clarifications and additional documentation.
- Identify and flag irregular, high-cost, or potentially fraudulent claims.
- Maintain accurate and timely claims records in the system.
- Timely collection of reinsurance recoveries
- Prepare claims reports and support reconciliation processes with providers.
- Support claims audits and continuous process improvement initiatives. Adherence to service levels as set out for our mutual clients
- Assess the loss ratios and ensuring that only quality business is retained.
- Maintain high standard level of customer service
- Liaise with intermediaries and direct clients on issues relating to their claims
- Perform any other duties as may be assigned from time to time
Working Relationships
Internal Relationships:
- Required to liaise and work closely with the other departments as may be necessary
External Relationships:
Knowledge, experience and qualifications required
1. Bachelor’s degree in Business Related field
2. Professional qualification in Insurance (Certificate CII,).
3. Two to four years’ experience in medical insurance claims analysis.
4. Familiarity with clinical procedures
5. Strong attention to detail and analytical skills.
6. Good communication skills and customer service orientation.
7. Experience in customer, market and competitor understanding.
8. Knowledge of Insurance regulatory requirements.
Work Hours: 8
Experience in Months: 24
Level of Education: bachelor degree
Job application procedure
Interested and qualified? Click here to apply
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