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Key Responsibilities · Administer outpatient medical claims in accordance with company policies and approved procedures · Process and follow up on employee insurance claims, ensuring timely submission and resolution · Liaise with insurers, brokers, and healthcare providers on claims-related matters, including claim status, appeals, rejections and documentation requirements · Manage monthly insurance enrolment, termination and membership updates for employees · Ensure prompt and accurate payments to healthcare providers, with proper supporting documentation maintained · Coordinate closely with internal stakeholders and external partners to resolve claim-related enquiries and issues · Maintain accurate and up-to-date records of claims, and related documentation · Prepare monthly claims and insurance reports Requirements · Minimum Diploma or equivalent qualification · Prior experience in medical claims and insurance administration will be an advantage · Proficient in Microsoft Office applications · Good verbal and written communication skills · Strong organisational skills with attention to detail and accuracy · Able to manage multiple tasks and work independently with minimal supervision