Latest Job Openings at Total Health Trust Limited

⏲ Mar 1, 2018, 10:01 AM
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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. 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). The organization further prides itself with its rich culture of Respect, Compassion, Pride and Expertise. We are recruiting to fill the following positions below: Job Title: Branch Lead (Medical) Location: Calabar, Cross River Job Description

To manage specific cases in the branch 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
To facilitate resolution of all queries from providers and members within the branch on specific cases and within the agreed SLA
To facilitate the investigation of potential fraudulent claims within the specific branch
Hospital visits regarding specific branch cases
To provide services in the accreditation and re-accreditation of branch 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
Following Head Office approval, to ensure a successful provider forum is held as stipulated
To ensure provider education is done and ensure product knowledge and processes are understood towards seamless service delivery to enrollees

Requirements

Candidate must be a registered nurse and midwife
B.Sc Nursing and additional medical qualification will be an added advantage
Candidate must have minimum of 3 years medical experience including 2 years in similar role in an Health Maintenance Organization (HMO)
Candidate must have advanced knowledge of NHIS regulatory guidelines, Medical Global Best Practices, Health Insurance, Products and Processes, and Scheme Rules.
Excellent organizational, communication (verbal and written), listening skills and attention to detail.
Candidate must be very proficient in Microsoft office packages

Other Requirements:

Good organizational and planning capabilities
Innovative and quick thinking capabilities
Adaptive
Decision Making skill and Excellent Customer Service Skill
Integrity
Ability to work under pressure
Adaptive, expertise, Result-Oriented, Relationship Skill
Working with people
Interpersonal Skill
Must be a good collaborator/Team player

Job Title: Sales Executive Location: Lagos Job Description

Establish new distribution channels through strategic alliances with other industry players - e.g. brokers/ independent agents & consultants
Build rapport with clients
Contribute to client retention for businesses brought within financial year
Contribute to business growth through new lives addition on LHC
Contribute to business growth through new lives addition on MC
Contribute to business growth through new lives addition in the year
Keep sales pipeline management report updated
Weekly meetings
Monitor competition activity and gathering of market intelligence report that contribute to developments within our porduct line and management
To adhere to and live the organization values

Requirements

Minimum of B.Sc./HND in Marketing, Social Sciences, Administration or any other related discipline.
A second degree in Business Management or Marketing will be an added advantage.
Candidate must have at least 3 years post NYSC experience in a similar role in an HMO.
Sales or marketing experience in the financial or insurance industry is an added advantage.
Excellent command of English language.
Candidate must have good knowledge of NHIS regulatory guidelines, business ethics and standards, product, processes and procedures, health insurance and Nigerian corporate market.
Excellent organizational, communication (verbal and written) skills and attention to detail.
Advanced proficiency in Microsoft Word, Excel and Power point.
Technical Marketing skills

Other requirements:

Good organizational and planning capabilities
Innovative and quick thinking capabilities
High level of stress tolerance
Adaptability
Analytical Skill
Decision Making Skill
Networking Skill
Negotiation Skill
Persuading and influencing
Conflict Management and problem-solving Skill
Must be a good collaborator/Team player

Job Title: Claims Assessor Location: Lagos Job Description

To vet all claims pertaining to either the managed care or Blue product to ensure that the daily targets are achieved
To capture all claims pertaining to either the managed care or Blue products to ensure that the daily targets are achieved
Send out cheques to providers within the agreed SLA
To ensure all Claims correspondence to providers or members are sent out timeously
To adhere to and live the organisational values.

Requirements

Candidate must be a registered nurse, midwife or possess B.Sc. Nursing with valid license.
Candidate must have a minimum of Credit or Second Class Upper Division and additional medical qualification will be an added advantage
Candidate must have minimum of 1 year clinical experience and experience in similar role in a Health Maintenance Organization (HMO) will be an added advantage
Candidate must have advanced knowledge of NHIS regulatory guidelines, Medical Global Best Practices, Health Insurance, Products and Processes, and Scheme Rules
Excellent organizational, communication (verbal and written), listening skills and attention to detail.
Candidate must be very proficient in Microsoft office packages

Other requirements: