collaboratively in teams to evaluate the claim process and investigation techniques.
Reports Arrange collections for customer Claims investigations Ensuring all reports are done. Grade 12
Reports Arrange collections for customer Claims investigations Ensuring all reports are done. Grade 12
resolved before same month end. Client claims are investigated & forwarded/resolved for authorization
resolved before same month end. Client claims are investigated & forwarded/resolved for authorization
insurance claim fraud. The ideal candidate will be responsible for managing investigative operations
insurance claim fraud. The ideal candidate will be responsible for managing investigative operations
Purpose: Assist the department in the completion of daily administration duties Ensure the proficient provision of general administrative support services to all departments Ensure that each claim is processed swiftly according to the SLA and ISO process and procedures Issuing claim forms to clients
Purpose: Assist the department in the completion of daily administration duties Ensure the proficient provision of general administrative support services to all departments Ensure that each claim is processed swiftly according to the SLA and ISO process and procedures Issuing claim forms to clients
timeously • Asses claims for possible fraud risks • Conduct Quality Audits on peers • Investigate and resolve