Branch Lead

  • First floor Suit A2, 24 KC Holdings Building Constitution road, kaduna, Nigeria
  • Full-time

Company Description

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 unrivalled 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).
 

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

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

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.

Qualifications

Applicant must be a Registered Nurse

Applicant must have 5-8 years experience

Must have knowledge of NHIS

HMO Experience is an added advantage

Additional Information

Other requirements:
• Good communication skills 
• Innovative and quick thinking capabilities
• Innovativeness
• Adaptive
• Decision Making skills
• Integrity
• Ability to work under pressure
• Adaptive, expertise, Result-Oriented, Relationship Skill
• Working with people
• Strategic