for a Claims Clerk. Responsible for the validation of all Buying Group claim. Ensuring all claim documents month. • Validating all claims received for the month and preparing the claims schedule timeously. • Disputing Disputing all invalid claims from the current month claims are done timeously. • Validating queries received from other departments and disputing the invalid claims as per the “Creditors disputes” process. • Dispute schedule updates: • Sending schedule with new disputed claims to be updated on the dispute schedule • Sending
Reference: CPT000050-DV-1 As a Senior Claims Consultant, you'll provide expertise to the team and clients profitability, advise on best practices, and validate claims. About our client: Join the ranks of the world's fundamental change. About the role: As a Senior Claims Consultant, you'll provide expertise to the team profitability, advise on best practices, and validate claims. Why join them? Joining our client means working Physiotherapy, Psychology or Equivalent; Minimum 10 years claims assessment and case management experience in the
Rental Group is seeking a well-seasoned Recoveries Claims negotiator MVA (Motor Vehicle Accidents) EE African Core purpose of the role: To settle third party claims/recover from third parties so as to limit expenses world class, omnichannel, single user interface Claims system. Requirements Academic Qualifications Matric experience Claims recoveries experience (MVA - Motor Vehicle Accident Claims) Apportionments Claims negotiation Review motor vehicle claims. Analyze portfolio of assigned claims daily. Prioritize claims by Quantum, Insurance
industry is currently looking to employ a Senior Claims Investigation Manager based in Bryanston (Johannesburg) and Internet navigation. Manage a high volume of claim reviews in a fast-paced environment. Ability to regular reviews of claims individually and collaboratively in teams to evaluate the claim process and investigation throughout the claims investigation process. Maintain a strong professional knowledge of claims regulatory environments. Serve as a claims technical resource, providing guidance and support to desktop claim investigators
hire detail-orientated Quality Assessors (Claims Assessors) x 7Â who will be responsible do:
My client is urgently looking for a Claims Consultant to become part of their hard working and energetic responsible for but not limited to: Registering New Claims Action queries Action current day dairy notes Action “Outstanding” claims Processing supplier invoices Assisting the branch manager in managing the claims team and
Manage the Benefits Investigation and claims processing function, ensuring the provision of professional payment of benefits, manage issues associated with claims and benefit administration Manage internal departmental
Permanent job opportunities available for recent Graduates to join an innovative and fast growing insurance company based in Bryanston. We seek to employ individuals with good communication and interpersonal skills, good problem solving and analytical skills, ability to learn quickly and work well i
experience Commercial Claims Consultant to join the team. Design and assist on the Claims system set up project your manager; Gathering claims data from all Insurers and keeping company claims records up to date, including Setting up company claims reports as required by your Manager; Assisting on technical claims and attending diary and taking messages; Assisting in compiling claims analytics, reports and statistics for various Insurers Preparation of presentations, quotations, claims reports, claim statistics and client portfolio packs; Preparation
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