experience in a medical imaging business/practice with claims processing responsibilities within a medical scheme radiology-related claims, and collaborates with healthcare providers to facilitate efficient claims processing radiology-related claims submitted by healthcare providers to the medical scheme. Verify the accuracy of claims documentation invoices, and supporting documents Ensure radiology claims comply with the medical scheme's policies, guidelines Adjudicate radiology-related claims promptly and accurately, making decisions on claim approval, denial, or modification
Warranty Claims: Managing the entire warranty claims process, including submitting claims to manufacturers and completeness of documentation, and tracking claim status.
Processing Warranty Claims: Managing the entire warranty claims process, including submitting claims to manufacturers tracking claim status. Documentation Management: Maintaining detailed records of warranty claims, including including repair orders, parts invoices, and warranty claim forms. Organizing and filing paperwork according repairs meet warranty criteria before submitting claims. Communication: Communicating with manufacturers and customers regarding warranty-related issues, claim status updates, and resolution of warranty disputes
Processing Warranty Claims: Managing the entire warranty claims process, including submitting claims to manufacturers tracking claim status. Documentation Management: Maintaining detailed records of warranty claims, including including repair orders, parts invoices, and warranty claim forms. Organizing and filing paperwork according repairs meet warranty criteria before submitting claims. Communication: Communicating with manufacturers and customers regarding warranty-related issues, claim status updates, and resolution of warranty disputes
insurance certifications and have dealt with Commercial Claims, we would like to hear from you. Our client is Marine. Claims Administration Administer complete claims process according to defined claims procedures procedures until claims are settled Apply policy terms and conditions Make assessment of claims validity and and estimate value and administer mandated claims Act as intermediary between insurer and client and timeously
support in the generation and provision of reliable claims assessment activities. To provide specialist advise support in the generation and provision of reliable claims assessment activities, support key deliverables business users Knowledge and understanding of how claims are handled and managed Provides technical knowledge assess and manage risk claims within relevant authority limits. Process special claims as and when they occur support to resolve relevant concerns related to claims. Bachelor's Degree in Business Commerce and Management
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
aspects, the first is to identify, assess and manage claims payments with internal and external stakeholders Disability Claims Team. Ensure the effective validation and assessment of all annuity disability claims according assessment, second approval and authorisation of annuity claims within agreed authority structures and targets targets in accordance to client service levels, claims management and process requirements. Communicate to internal stakeholders on set requirements and progress on annuity claims in payment assessment, in a clear, friendly and
assess the diagnostic pathology consultations and claims from service providers. Assist in the management stakeholders to ensure control and monitoring of claims related to Pathology results to ensure that they years' experience in a similar role (Billing and Claims experience)
Processing of claims on teh onlyne quality system Tagging parts with warranty/quality claim numbers & moving to the correct places or as manufacturers claim procedures. Ensure quality policy and procedures