Healthcare and MedicalFull-TimeJunior-level(1-2 yrs)
Job Description
Fidelity Shield Insurance Company Limited is a leading general insurance provider offering a wide range of products to cater for individuals, private corporate companies, small and medium enterprises, governmental organisations, and many more. We are seeking a Medical Claims Analyst to join our medical insurance team.
Role Purpose
The Medical Claims Analyst is responsible for managing and adjudicating medical claims to ensure that healthcare care provided is appropriate, cost-effective, and fully aligned with policy coverage while maintaining high levels of customer service for providers and specialists.
Key Responsibilities
Claims Adjudication: Adjudicating inpatient and outpatient medical claims while verifying the accuracy of information provided.
Provider & Customer Relations: Attending to providers, specialists, and customer queries by determining their requirements, answering inquiries, resolving problems, and ensuring good service at a friendly cost.
Cost Management: Managing healthcare costs by ensuring that care is appropriate, cost-effective, and aligned with policy coverage.
Requirements
Academic Qualifications: Bachelor's degree or a Diploma in Nursing, Clinical Medicine, or Healthcare Management.
Professional Experience: At least 1 to 3 years’ of experience in health insurance claims processing, adjudication, or claims management.
Technical Knowledge: Strong background in medical claims assessment will be a plus, including knowledge of medical terminology, coding (ICD-10, CPT, HCPCS), and treatment procedures.
How to Apply
If you think you should be considered for this role, send your application to careers@fidelityshield.com by 13th March 2026.
How to Apply
If you think you should be considered for this role, send your application to careers@fidelityshield.com by 13th March 2026.
