BESH L&L Consultancy Group is seeking a detail-oriented and results-driven Insurance Officer to manage the health insurance claims process from patient cover verification and authorisation through claim preparation, submission, query resolution, reconciliation, and payment follow-up. The role will help maximise legitimate insurance collections, reduce claim rejections, and maintain strong relationships with NHIS and private insurers. The following are the responsibilities and qualifications for the position;
Key Responsibilities
· Ensure insurance cover, service limits, exclusions, co-payments and authorisation requirements are verified before care where applicable.
· Track claims from submission to payment, follow up outstanding and aged claims, and investigate deductions or short payments
· Coordinate timely authorisation requests and maintain accurate records and reference numbers.
· Compile and quality-check claims for accurate coding, approved tariffs, charges and supporting clinical and billing documents.
· Reconcile insurer remittances with the Accounts Officer and maintain accurate claims registers and ageing reports.
Qualifications
· Bachelor's degree or HND in Health Administration, Business Admin, Finance, Accounting or a related field.
· At least 3 years' experience in health insurance claims, revenue-cycle work or medical billing, including private health insurance claims.
· Working knowledge of claims coding, tariffs, authorisations and claims submission processes.
· Strong Excel skills and experience using hospital billing or claims management systems.
Compensation
· Competitive Salary