Medical Claims Online Jobs in South Africa
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Fraud/claim With Online Purchases
Brackenfell
CONTRACT CONTRACT
Fraud/Claims with Online Purchases:
Seeking 4 contractors to handle Claims on Online purchases, be responsible for investigating customer refund claims, identifying identifying fraudulent claims, and contacting customers who display unusually high claims rates.
share this job on whatsappMedical Claims Assessor Pretoria
Qetello HoldingsPretoria
Our client is a leading medical scheme based in Pretoria, dedicated to providing comprehensive healthcare seeking a dedicated and experienced Claims Assessor to ensure that all claims are assessed accurately and paid of 2 years of claims assessing experience in the Medical Aid industry. Assess all claims using the appropriate Ensure accurate and timely processing of claims. Verify claim details and documentation for accuracy and healthcare providers and members to resolve any claim-related queries or issues. Adhere to the clients
Medical Claims Clinical Auditor (ee)
Port Elizabeth
Monthly purpose of this temporary role is to ensure hospital claims are audited timeously and accurately with the focus reducing wastage and abuse, as well as to ensure that claims are processed according to authorizations for a allocated hospital claims for audit within department KPIs and CMS requirements for claims payment.
Medical Claims Assessor Market Related
Qetello HoldingsPretoria
Our client is a leading medical scheme based in Pretoria, dedicated to providing comprehensive healthcare seeking a dedicated and experienced Claims Assessor to ensure that all claims are assessed accurately and paid of 2 years of claims assessing experience in the Medical Aid industry. Assess all claims using the appropriate Ensure accurate and timely processing of claims. Verify claim details and documentation for accuracy and healthcare providers and members to resolve any claim-related queries or issues. Adhere to the clients
Claims Assessor
GoldenruleSouth Africa
leader in the Insurance field is on the look out for Claims Assessors to form part of their Team. This person support in the generation and provision of reliable claims assessment activities, to support key deliverables
Claims Assessor
FreerecruitCentral Johannesburg
to the ongoing enhancement and execution of the claims assessment methodology across Critical Illness Disability benefit lines. Approves or declines claim submissions without supervision within company guidelines to claims assessors and consultants. Guide team members with risk assessment techniques, medical knowledge the claims assessment methodology, including: Current best industry and company practices Claims research to ensure consistent application of these in the claims assessment environment. To partner and collaborate
Claims Handler
Bryanston
Market related ence:
- A minimum of three (3) years´ Claims experience
- A minimum of five (5) years´
the following duties:
Effectively maintain claims standards and provide quality client service:
- Register
service:
- Register motor / non motor claims for personal and commercial policies
- Appoint as sufficient
- Responsible for handling of and settling of claims for clients allocated and ensuring accurate capturing updating on all data systems
- Manage the claim from start through to settlement stage
- Gathering
- Register
service:
Claims Manager
Randburg
60 000 Monthly completed.
Claims Analyst
Randburg
25 000 Monthly Examination.
- Handle claims as per delegated claims portfolio from cradle to grave.
- Daily
- Daily Administration Registering of new claims and ensuring that cover is in place and the correct are timeously and accurately saved to the correct claim or policy file, as well as updating main statuses cycle of the claim.
- Estimates are to be added correctly and updated throughout the claim life cycle
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