providers by members that have been identified through claims analyses as high utilisers. The Risk Management Member High utilisation Establish or verify if the claims data is a true reflection of the member's health
implementation of the risk model and life claims philosophy, analysis of claims and other data to recommend and
implementation of the risk model and life claims philosophy, analysis of claims and other data to recommend and
Provident/Pension fund
planned activities within vendor guidelines, timeous claiming of marketing tending from the vendor, and the keeping, ensuring that all required documents for claims are kept Keep proper tracking of the marketing submit on vendor portal to finalise. spend and claim and track payment to allocate correctly to each to submit on vendor portal to finalise spend and claim and track payment to allocate correctly to each to submit on vendor portal to finalise spend and claim and track payment to allocate correctly to each
planned activities within vendor guidelines, timeous claiming of marketing tending from the vendor, and the keeping, ensuring that all required documents for claims are kept Keep proper tracking of the marketing submit on vendor portal to finalise. spend and claim and track payment to allocate correctly to each to submit on vendor portal to finalise spend and claim and track payment to allocate correctly to each to submit on vendor portal to finalise spend and claim and track payment to allocate correctly to each
provisions. Coordination of inventory counts and expense claims. Liaison for data collection and costing accuracy
reports, low margins, regional payroll Insurance claims management Audits, internal and external BCom
Monitor stock levels on crucial items Supplier Claims BRC / HALAL Area inspection to ensure auditing
Prepare monthly recons Daily DOC Process all fleet claims and other invoices and credit notes from OEM Assist