Claims Officer Job at Marie Stopes Tanzania

RESPONSIBILITIES:

Managing corporate clients for proper management of claims:
Working closely with Center Managers to improve filing of insurance claims.
Communicating timely with insured clients in case there is misunderstanding between a client and insurance.
Working closely with receptionists to ensure all insured clients are checked properly before services.
Preparing daily bill reconciliation, monthly and annual reports.
Screening daily/monthly claim forms from Marie Stopes Tanzania centers.
Recording transaction properly in the E.H.R.
Learning and keeping up to date the MST products and services with changes.
Maintaining MST policies and standards for customer care.
Supervising closely the receptionist and clinicians on claims compliance based on the corporates contract agreement.

Preparing and issuing corporate client invoices:
Making sure every corporate client receives a copy of claim form.
Verifying the prices charged on claim form agreed to the MST price list.
Informing bill client of total cost of services.

Marketing and demand generation:
Developing and implementing marketing plans for demand generation.
Conducting market research and analysis to identify target audiences, competitive landscape, and emerging trends.
Creating and managing marketing campaigns across various channels, including digital, print, and social media platforms.
Collaborating with internal teams to develop compelling marketing materials, such as brochures, flyers, and website content.
Monitoring and analyzing the effectiveness of marketing initiatives and make datadriven recommendations for optimization.
Assisting in the development of business proposals, presentations, and marketing materials to showcase our services and attract new clients to our facilities.
Linking social marketing activities with Centre channel operation and innovation and service income increment and visibility and awareness concerns.

Customer Care:
Treating clients always with much respect.
Providing information in a good way with regards to ethics of organization and customer service.
Providing training and education about insurance exclusions (service covered and not covered by insurance) to clients and staff.
Solving challenges which face clients.

Minimum Requirements:

Qualifications:

First degree graduate in Insurance, Business Administration, or related courses.
Desirable: management and leadership skills, computer illiteracy, dealing with customers and staff challenges in a good way.
Experience:

3- year experience of working in medical insurance and health organization with strong administrative skills and experience.
Sound experience working with medical insurance(s) in Tanzania including with the Tanzanian Health systems.