Job title: Customer Service (In Patient)
Job type: Permanent
Emp type: Full-time
Industry: Insurance
Salary type: Monthly
Location: Port Louis
Job published: 25/03/2025
Job ID: 43540
Contact name: Stéphani Modeste-Rouget

Job Description

Our client is recruiting a Customer Service (In Patient).

Reporting to the Team Leader/ Manager.

Main duties and Responsibilities

  • Claim handling: Clinic admission notifications, filtering, coding, verification, data capture and processing of Claims
  • Liaise with Service Providers and Medical Consultants
  • Guide / Coach Claims Teams with respect to the medical aspects of claims
  • Assist In-Patient team in claims handling: input, verify & review data on IT system
  • Provide assistance and information to clients and doctors at clinics’ help desk
  • Follow-up of incoming calls, mails and queries in a timely manner
  • Communicate with PCL and respond to PCL queries
  • Send weekly & monthly bordereaux and claims history to clients
  • Liaise with the different stakeholders and department teams
  • Liaise with in-house Medical Officers
  • Provide feedback to Coordinators/ Claims Executive and assist them in daily duties
  • Any other cognate duties that may arise

Qualification & Experience :

  • Minimum HSC
  • At least 1 year working experience.

Proactive reserves the right: 

  • To call only the shortlisted candidates for interview. 
  • Not to make any appointment following this advertisement nor to assign any reason whatsoever for accepting or rejecting any candidate.
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