Health Insurance Administrative Officer

Qualifications

• Bachelor’s Degree or HND in Nursing, Public Health, Health Information Management, Community Health, Medical Laboratory Science, Health Administration, or another health-related discipline.
  
• Minimum of two (2) years of relevant work experience.
  
• Experience in health insurance administration, healthcare administration, or HMO operations is required.
  

Responsibilities:

• S/he will maintain accurate and up-to-date records of all widows enrolled in the Federal Capital Territory Health Insurance Scheme (FHIS), including enrolments, renewals, and beneficiary information.
  
• S/he will follow up with the FHIS, Health Maintenance Organizations (HMOs), and healthcare providers to resolve beneficiary enrolment, authorization, referral, and service access issues.
  
• S/he will receive, document, track, and resolve beneficiary enquiries and complaints, ensuring each case is followed through to completion.
  
• S/he will monitor beneficiaries’ health insurance status and coordinate timely renewals to prevent lapses in coverage.
  
• S/he will prepare and submit weekly and monthly reports on enrolments, renewals, unresolved cases, referrals, and other programme activities.
  
• S/he will ensure all beneficiary records and supporting documents are complete, accurate, and securely maintained in both electronic and hard-copy filing systems.
  
• S/he will guide widows on how to access health insurance benefits and navigate the referral and service delivery process.
  
• S/he will liaise with designated FHIS and HMO officials to facilitate prompt resolution of beneficiary cases and strengthen working relationships.