ASSISTANT BENEFITS AND CLAIMS OFFICER (18)

NHIMA

Assistant Benefits and Claims Officer Jobs in Lusaka

NHIMA is seeking a dedicated Assistant Benefits and Claims Officer to join our team in Lusaka, Zambia. This full-time position offers an excellent opportunity for professionals eager to contribute to the efficient management of health insurance claims and provider relations. If you are detail-oriented and possess strong communication skills, consider applying before the closing date on 12 May 2026.

Role Overview: Assistant Benefits and Claims Officer Jobs in Lusaka

The successful candidate will play a pivotal role in the claims management process, ensuring timely registration, tracking, and reconciliation of claims submitted by accredited health care providers. Responsibilities include maintaining accurate claims registers, responding to audit queries, and fostering strong relationships with healthcare providers through ongoing sensitisation on NHIMA benefits, tariffs, and proper claims documentation.

  • Register new claim submissions promptly from accredited providers
  • Track claims throughout various workflow stages and update departmental registers
  • Perform claims reconciliations internally and with healthcare providers
  • Address audit and claim queries efficiently
  • Admit qualifying claims immediately upon receipt
  • Maintain and strengthen relationships with healthcare providers via sensitisation sessions
  • Communicate daily regarding claims submission omissions
  • Scan, batch, and index claims prior to adjudication
  • Prepare daily and weekly claims status reports
  • Manage weekly claims adjudication schedules and submissions
  • Support additional claims-related tasks as assigned by the Supervisor

Qualifications and Skills for Assistant Benefits and Claims Officer Jobs in Lusaka

Applicants should meet the following educational and professional criteria:

  • Grade 12 School Certificate with at least five ‘O’ levels at credit or better, including Mathematics and English Language (ZAQA Certified)
  • Diploma in a relevant field (ZAQA Certified); a degree in a relevant discipline is an advantage
  • Minimum of six months relevant work experience in a similar role
  • Certificate in management of a health insurance scheme, compensation fund, or social security is a plus

Key skills include:

  • Strong marketing and customer service knowledge
  • Excellent oral and written communication abilities
  • Proficiency in MS Office and general computer literacy
  • High attention to detail and strong analytical skills

How to Apply

Interested candidates are encouraged to submit their applications through the NHIMA careers portal. Please visit the following link to apply and view further details about this vacancy:

https://careers.nhima.co.zm/vacancy/details/31

Applications close on 12 May 2026.

To apply for this job please visit careers.nhima.co.zm.

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