client operating in the medical insurance space is seeking a Medical Claims Clinical Auditor to join 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. Ensure accurate notes are made for all journals actioned on claims audited. Assess prosthesis for PMB funding when
client operating in the medical insurance space is seeking a Medical Claims Clinical Auditor to join 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. Ensure accurate notes are made for all journals actioned on claims audited. Assess prosthesis for PMB funding when
Reference: CPT006994-GS-1 CLAIMS ASSESSORS NORTHERN SUBURBS SALARY MARKET RELATED Minimum requirements: Individual Insurance claims Typing speed of 25 words per minute Required to assess claims and communicate finalized within the maximum period Ensure that the claims are successfully processed and accurately assessed
Afrikaans speaking Commercial & Personal lines Claims Consultant to join a busy, well established and non-motor claims and assist clients with any general and claim-related queries. Capturing all new claims where innovative and appropriate claims handling Ensures that customers claims are handled efficiently Maintain is an integral part at the start of the entire claims value chain, ensuring that complete and accurate Must love Claims Claims Negotiator with at least 3 years Personal and Commercial Lines Claims experience
Reference: JHB006139-BR-1 Claims Handler Your next career move is on the cards R180,000 - R360,000 Long Group is offering a huge scope for growth to a Claims Handler. Here is an opportunity to harness your
Bicycle Claims Specialist to join their team. This role involves managing the entire claims process, handle claims efficiently and empathetically. Key Responsibilities: Manage the end-to-end claims process process from lodgment to claim finalisation. Handle day-to-day management of claim lodgments, customer inquiries inquiries, and validating reported insurance claims. Answer incoming calls and provide customers with empathy from both parties. Identify potential fraudulent claims and adhere to agreed policies and procedures. Communicate
with strong motor claims experience and outstanding investigative skills. The Claims Manager will lead investigations of motor claims. The role requires completing comprehensive reviews of claims to ensure adherence enhancing the overall customer experience. The Claims Manager is responsible for continuous training regular reviews of claims individually and collaboratively in teams to evaluate the claim process and investigation throughout the claims investigation process. Maintain a strong professional knowledge of claims regulatory
Reference: CPT006994-GS-1 CLAIMS ASSESSORS NORTHERN SUBURBS SALARY MARKET RELATED Minimum requirements: Individual Insurance claims Typing speed of 25 words per minute Required to assess claims and communicate finalized within the maximum period Ensure that the claims are successfully processed and accurately assessed
with strong motor claims experience and outstanding investigative skills. The Claims Manager will lead investigations of motor claims. The role requires completing comprehensive reviews of claims to ensure adherence enhancing the overall customer experience. The Claims Manager is responsible for continuous training regular reviews of claims individually and collaboratively in teams to evaluate the claim process and investigation throughout the claims investigation process. Maintain a strong professional knowledge of claims regulatory
purpose of the Claims Specialist's role is to validate and administrate a client's claim following a fortuitous fortuitous event. The claims specialist will be responsible for various Non-Motor Claims. Claims settlement determinations in accordance with Standard Operating Procedure, claims guidelines, the specialist own mandate, and the experience in claims validations and settlement Exposure to short term insurance claims administration