Job Description
Siddhartha Premier Insurance Limited invites applications from qualified, dynamic, and result-oriented citizens for the following positions:
Jobs
Position: Junior Officer – Senior Officer ( Medi Health unit of claim department)
No. of Vacancy: 1
Location: Head Office, Anamnagar, Kathmandu
Qualifications:
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Candidates should possess minimum Bachelor degree in Pharmacy/Pathology/Nursing or MBBS holder.·
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Candidates with a Bachelor’s degree in science (preferably Biology or related disciplines) with relevant experience in health insurance claims may also apply.·
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Prior experience in hospital, Pharmacy and or related fields are encouraged to apply.
Key Requirements:
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Sound knowledge of medical terminology, diseases, treatment protocols, pharmaceuticals, and healthcare procedures.·
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Understanding health insurance policies, claim adjudication, medical underwriting, and regulatory requirements will be an added advantage.·
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Strong analytical, report-writing, and decision-making skills.·
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Effective communication and people skills with the ability to coordinate with hospitals, insured clients, surveyors, and healthcare providers.·
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Proficiency in Microsoft Office applications and claim management systems.·
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Prominent level of integrity, accuracy, and diligence.
Job Responsibilities:
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Candidate should have effective communication skills and shall manage inquiries related to Pharmacy, especially during claim inspection.·
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Developing and filing new products for Health Insurance.·
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To incorporate empanelment with different hospitals in Kathmandu valley and to tie up with them for business Support.·
