Customer Service Officer – HMO

William Hills Nig Limited is seeking a Customer Service Officer (HMO) to serve as the key link between enrollees, hospitals, and the HMO. The role focuses on ensuring seamless access to healthcare services without payment or administrative barriers.

• Onboard new corporate and individual enrollees and explain benefit plans
• Update enrollee details, including dependents and ID card requests
• Process requests for consultations, tests, and surgeries
• Liaise with hospitals to approve care within 24–48 hours
• Explain claim denials and guide enrollees on out-of-pocket costs
• Resolve billing disputes between enrollees and healthcare providers
• Respond to inquiries from hospitals regarding capitation, fee-for-service, and referrals
• Serve as the main point of contact for enrollees, employers, and healthcare providers
• Handle inbound calls, emails, and walk-ins
• Ensure smooth access to healthcare services without administrative delays
• Maintain accurate records and update systems regularly

• OND, HND, or BSc in any discipline (Health-related fields are an advantage)
• 1–2 years’ experience in customer service, call center, insurance, banking, or hospital front desk
• Fresh graduates with strong communication skills may be considered
• Proficiency in Microsoft Office (Excel and Outlook)
• Experience with CRM, ticketing, or EHR systems (e.g., Helium Health, Roqqu Health) is an advantage
• Strong communication, problem-solving, and interpersonal skills
• High attention to detail, emotional resilience, and time management skills

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