• Application Deadline: Thu, 1 Jan 2026 00:00:00 GMT
• Position: Call Centre Agent



• Job Type Full Time



• Qualification BA/BSc/HND



• Experience 1 - 10 years



• Location Lagos




• Job Field Customer Care 
  
  

Job Description

• Review and assess submitted healthcare claims for accuracy, completeness, and eligibility based on Sterling Health Insurance policies and guidelines.


• Verify patient eligibility and coverage details.


• Apply medical coding knowledge (e.g., ICD-10, CPT) to evaluate the appropriateness of services rendered.


• Identify and investigate discrepancies, errors, or potential fraudulent claims.


• Communicate with healthcare providers and enrollees to obtain necessary information or clarification regarding claims.


• Process claims accurately and within established turnaround times.


• Utilize the claims processing system effectively to input, review, and finalize claims.


• Maintain accurate and up-to-date records of all claims processed and actions taken.


• Adhere to all relevant regulatory requirements and internal policies related to claims processing.


• Stay updated on changes in medical coding, billing guidelines, and insurance regulations.


• Collaborate with other members of the Claims Department and other internal teams to resolve complex claims issues.


• Prepare reports on claims processing activities and trends as required.


• Assist in the development and implementation of claims processing procedures.


• Perform other claims-related duties as assigned.