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Medical Aid Claims Assessor Jobs in Pretoria, Gauteng - Page 2

Jobs 11-20 of 160

Team Leader - Short Term And Life Claims

Pretoria  R35 000 Monthly

motivate a team of claims professionals handling short-term and life insurance claims.
-Provide ongoing objectives.
Claims management:
-Oversee the end-to-end claims process for both short-term short-term and life insurance claims, ensuring adherence to company policies, procedures, and regulatory escalated claims, providing guidance and assistance to team members as needed.
-Monitor claims metrics Excellence:
-Champion a client-centric approach to claims management, prioritising prompt and empathetic


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Team Manager - Short Term And Life Claims

Pretoria

>Title: Team Leader – Short Term and Life Claims

Location: Pretoria East

Reports to: Claims Manager

Job Term and Life Claims Team Leader is responsible for leading and managing a team of claims professionals short-term and life insurance claims. The role involves overseeing the end-to-end claims process, ensuring timely timely and accurate claims adjudication, providing guidance and support to team members, and fostering


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Fraud Waste & Abuse Inspector

Pretoria  Annual Renumeration includes benefits

experience in processing claims . 1 Year experience in forensic/investigative claims assessing or dealing dealing with fraud, waste and abuse claims in a medical scheme .

Requirements:

claims assessing and the understanding thereof. An understanding of claims processing system within 3 months). Understanding and knowledge of Medical Scheme Rules/compliancy. Proven working experience investigate/identify fraud, waste and abuse claims and submission of claim reports with updates on traction. Detect


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It Business Support Consultant

Pretoria

Client:

Our client is a leading medical scheme based in Pretoria, dedicated to providing support on various BIT platform modules, including claims, finance, membership, and manage healthcare.
• Exposure within the Medical Aid environment is advantageous.
• Analytical disability benefits, funeral cover, pension fund, medical aid, and more.
• Office perks: free parking members. Apply today to contribute to a leading medical scheme's success and make a difference in the


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Dental Receptionist Pretoria Cbd

 Dr.op Moloi And Dr.mm Marishane IncSouth Africa

regarding patient appointments. Contact various Medical Aids regarding coverage and payment plans. Perform invoices to Medical Aid companies and patients. Receive and process payments made by patients or Medical Aids efficiently and accurately gathering all personal and medical aid details. Manage all social media platforms and


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Dental Practice Receptionist

 Dr.op Moloi And Dr.mm Marishane IncSouth Africa

regarding patient appointments. Contact various Medical Aids regarding coverage and payment plans. Perform invoices to Medical Aid companies and patients. Receive and process payments made by patients or Medical Aids efficiently and accurately gathering all personal and medical aid details. Manage all social media platforms and


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Specialist - Pharmaceutical Benefit Management

Pretoria  R30k - 50k per month

authorization. Be able to assist the medical scheme with paper claim pricing for member reimbursement.

  • Managing exceptional funding by the medical schemes.
  • Follow up on weekly medicine claim rejections to ensure ensure members are registered and have access to medication.
  • Qualifications:< isiXhosa, isiZulu.

  • Competency in medical scheme medicine claim submissions, reversals, queries.
  • Be
  • Be able to understand claim rejections and how to resolve them.
  • Handling complex queries


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  • Aviation Administrator (underwriting Assistant) - Pretoria R18k - R22k Ctc Pm Depending On Experience

     Neo Batho LtdPretoria  R18k - R22k ctc pm depending on experience

    with minimum contribution of 6 % Medical aid: Must be on medical aid – proof of membership will be required


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    Underwriting Assistant Pretoria

     Neo Batho LtdPretoria  R18k - R22k ctc pm depending on experience

    with minimum contribution of 6 % Medical aid: Must be on medical aid – proof of membership will be required


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    Customer Service Agent Pretoria

     Quality Connect StaffingPretoria  R8 000.00

    professional mannerisms Computer literacy R8 000.00 CTC medical aid and pension


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    Average Annual Salary

    for Medical Aid Claims Assessor jobs in Pretoria, Gauteng
    R 609,088

    No. of Jobs added in the last week

    for this search.
    31