Branch Lead at Total Health Trust Limited

⏲ Jan 22, 2021, 11:01 PM
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Total Health Trust Limited (THT), Nigeria’s leading Health Maintenance Organization (HMO) was founded in 1997 and commenced operations in June 1998. Renowned by our stakeholders for our reliability, we have been connecting our members to healthcare providers since 1998. Our unrivaled 18 years industry track record has seen us build a formidable reputation in Nigeria and we remain the HMO of choice for over 300,000 members and over 500 corporate clients and government institutions. We were the first HMO to be registered in Nigeria and 18 years later, we are still number one in the market. We are one of the very few HMOs that can boast the financial and technical backing of a world-class company – Liberty Health (a member of the Liberty Group).

We are recruiting to fill the position below:

Job Title: Branch Lead

Location: Kaduna
Employment Type: Full-time

Job Description

To manage specific cases in the branch / zone in order to get the best outcome
To facilitate the process of pre-authorisations and authorisations between the provider and the scheme and to give feedback to the relevant party concerned
Hospital visits regarding specific branch / zonal cases
To provide services in the accreditation and re-accreditation of branch/zonal providers to ensure that provider facilities and services are up to standard as per the agreed standards using a standardized checklist.
To adhere to and live the organizational values.
To facilitate resolution of all queries from providers and members within the branch/zone on specific cases and within the agreed SLA
To facilitate the investigation of potential fraudulent claims within the specific branch / zone and provide feedback to the Branch manager

Qualifications