Claims Adjudication Associate - Manual Payment

While we appreciate all applicants, only applications received via Sagicor's career portal https://career4.successfactors.com/career?company=sagicorfinP2 will be considered.

"Looking for a diverse and rewarding career? If you're looking to grow your career within a stable and growing financial services company, then Sagicor may be right for you!"

Sagicor Life Jamaica Limited is seeking a suitable candidate to join our Insurance Operation Services - Claims team in the capacity of:

Claims Adjudication Associate – Manual Payment

Accurately adjudicate and issue payments for claims up to a limit of $50,000.

Location: Kingston

As a Claims Adjudication Associate, you will:

• Adjudicate on all categories of payments for subscriber claims as required.
  • Input information related to the processing of all health claims including provider number, service, diagnosis codes and approve assigned categories of claims.
  • Initiate payment of claims.
  • Prepare required over-authorization forms for claims exceeding $50,000.
  • Report questionable claims or claims with unusually high charges.
• Prepare productivity reports for submission to supervisor.
• Perform other job-related duties assigned from time to time.

What do you need?

• Minimum of an Associate degree or equivalent qualification from a recognized institution.
• Minimum of one (1) year working experience in processing Health Claims.
• Successful completion of the HIA parts 1&2 designation would be an asset.
• Excellent oral and written communication skills.
• Good time management and client relations skills.
• Sound knowledge of software applications including spreadsheets and word processing applications.
• Basic knowledge of medical terminologies.
• Working knowledge of Group Life and Health Insurance operations.

If this role is of interest to you, kindly submit an application via Sagicor's career portal no later than January 10, 2025.

While we appreciate all applications, only shortlisted candidates will be contacted.