Associate, Claims Processing

JOB PURPOSE

Drive the efficient processing of training grant claims, ensuring all submissions comply with company policies, guidelines, and regulatory requirements to maintain accuracy and timeliness in claims operations.

KEY ACCOUNTABILITIES

Training Grant Claims Processes

• Implement training grant claims processes by verifying claims documentation, ensuring compliance with policies and guidelines, and approving claims to meet the company's client charter timelines.

• Track claims status and follow up on pending submissions by communicating with relevant stakeholders to ensure claims are processed within the timelines outlined in the client charter.

Compliance with Regulations

• Review and cross check claims documents for regulatory compliance to ensure adherence to ensure accuracy before submission for approval.

• Communicate compliance issues by reporting findings to relevant stakeholders to ensure timely corrective action and adherence to regulations.

Data Analysis and Report Preparation

• Prepare monthly claims data by gathering and organising information to support the team in creating performance reports.

• Identify and highlight any data discrepancies during collection to assist in maintaining accuracy and integrity in claims reporting.

Customer Education and Briefings

• Conduct briefing sessions by providing basic information on the claims process and answering inquiries to ensure clear understanding of submission guidelines, reducing errors and delays in claim submissions.

• Provide responses to basic customer inquiries on claims processing by offering timely and accurate guidance, ensuring smoother submissions and improved customer satisfaction.

Policy Adherence for Claims

• Follow and implement approved policies related to employer grants and claims by reviewing documentation and ensuring alignment with organisational standards.

• Address policy application issues by flagging any inconsistencies in claims processing to ensure compliance with organisational guidelines.

EDUCATION QUALIFICATION

• Degree in Finance, Accounting, Business Administration or any related fields.

RELEVANT EXPERIENCE

• 1-5 years of working experience especially in claims processing environments.