Job Details
- Deadline: Not specified
- Location: Malawi
- Application: Email: recruitment@libertas.co.mw
Job Description
Claim Officer - Health
Libertas General Insurance Co. Ltd
Blantyre, Southern Region, Malawi, Malawi
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5 months ago
177 applicants
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Applications are invited from suitably qualified and experienced people to fill the following position tenable at our head office in Blantyre.
Job Title: Claims Officer – Health
Reporting to: Health Operations Manager
Job Purpose
To manage medical insurance claims and Healthcare provider accounts efficiently and accurately, ensuring compliance with company policies, regulatory requirements, service standards and service level agreement.
Key Responsibilities
Claims Assessment: Review and verify submitted medical claims for completeness, accuracy, and eligibility under policy terms.
Documentation & Verification: Ensure all supporting documents (medical reports, invoices, prescriptions, proof of payments) are authentic and meet policy requirements.
Fraud Detection: Identify potential fraudulent claims and escalate for investigation.
Customer Service: Communicate with policyholders, healthcare providers, and internal teams to resolve queries and provide claim status updates.
Compliance: Adhere to regulatory guidelines and company policies in claims processing.
Reporting: Maintain accurate records and prepare weekly, monthly, quarterly and other periodic reports on claims trends and performance.
Collaboration: Work closely with underwriting, case management, finance, Key accounts personnel and risk management teams to ensure smooth operations.
Payments and Reconciliation: Audit and process claims and ensure all provider /member payments are made accurately and as per SLA.
Account reconciliation: To reconcile all accounts and always keep them up to date.
Supervision: Directly plan and supervise the work of Claim administrators.
Required Qualifications
Bachelor’s degree in healthcare management, Nursing, Business Administration, or related field.
Professional certificate in insurance & experience in medical insurance claim handling is an added advantage.
Skills & Competencies
Strong knowledge of medical terminology and healthcare procedures.
Familiarity with insurance regulations and claims processing systems.
Analytical and problem-solving skills.
Excellent communication and negotiation abilities.
Attention to detail and accuracy.
Ability to work under pressure and meet deadlines.
Experience
2–4 years’ experience in health insurance claims processing or a related role.
Exposure to risk management and fraud detection is desirable.
Interested Individuals Must Download And Complete Job Application Form On The Link Below And Send Completed Copy Of The Job Application Form Together With Copies Of Their Certificates To
The Human Resources Officer
Libertas General Insurance Company Limited
P.O. Box 354
Blantyre.
Email: recruitment@libertas.co.mw
The closing date for receiving applications is
31st January 2026.
Only shortlisted candidates will be contacted.
Libertas General Insurance Company Limited is an equal opportunity employer
Seniority level
Mid-Senior level
Employment type
Full-time
Job function
Finance and Sales
Industries
Insurance
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How to Apply
Apply by email: recruitment@libertas.co.mw
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