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
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
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
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)
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)
certificates Recording additional work and variation claims Communicate with consulting engineers/architects/PQS's engineers/architects/PQS's in matters of variance and claims Monitor adherence to company procedures (All senior management) evaluating claims such as: Extension of time claims Expense and loss Acceleration claims Insurance claims Experience prices from suppliers and subcontractors; finalising claims and accounts Benefits: Salary: R1,2M – R1,5M CTC