Together with our client, a leading claims administrator in Johannesburg North, we are recruiting for Controller to assist with Private and medical aid claims. Implement credit control procedures for specialist outstanding claims. Apply any necessary fixes or adjustments to claims. Monitor and follow up on claims related rejections from medical aids and upfront claim rejections Submit paper claims when electronic submission is not
service providers with details of progress on payment claims and services. Help resolve queries from internal Reconciliation Administration Reconciliations on claim matters that are requested and not yet paid. Reconciliation Reconciliation of bank attachment transactions to the claims management system. Tracking and recording of outstanding Validation of claim data in terms of data analysis. Stakeholder Relations Validation of claim data in terms
service providers with details of progress on payment claims and services. Help resolve queries from internal Reconciliation Administration Reconciliations on claim matters that are requested and not yet paid. Reconciliation Reconciliation of bank attachment transactions to the claims management system. Tracking and recording of outstanding Validation of claim data in terms of data analysis. Stakeholder Relations Validation of claim data in terms
baking payments (claims, refunds etc). If you have worked with high volume payments/claims then this is the
technical investigation on Loss Ratio and in-depth claims analysis, corrective actions to be implemented manager with ad hoc requests for underwriting and claims in the Commercial Department. New Business Promoting with complex commercial underwriting matters and claims. Risk Surveys Assisting in communicating and promoting well as brokers and administrators. Claims Assisting the Claims department with Queries on an ad-hoc
technical investigation on Loss Ratio and in-depth claims analysis, corrective actions to be implemented manager with ad hoc requests for underwriting and claims in the Commercial Department. New Business Promoting with complex commercial underwriting matters and claims. Risk Surveys Assisting in communicating and promoting well as brokers and administrators. Claims Assisting the Claims department with Queries on an ad-hoc
effectively handling patient accounts, insurance claims, and outstanding balances to ensure timely and debt and the collection thereof for Medical Aid Claims and Private Patients Collection of outstanding collection of debt Ensure that all medical aid claims are submitted within the regulated time frame in offs, medical aid stale claims and prescription of debt Debtor and Medical Aid Claim Liaison Communicate
contributing to the firm's growth. Claims Support: Assist clients with the claims process, providing guidance guidance and ensuring efficient resolution of claims. Market Research: Stay informed about industry trends, Collaboration: Work closely with underwriters, claims consultants, and other team members to deliver
contributing to the firm's growth. Claims Support: Assist clients with the claims process, providing guidance guidance and ensuring efficient resolution of claims. Market Research: Stay informed about industry trends, Collaboration: Work closely with underwriters, claims consultants, and other team members to deliver
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