Reference: JHB000129-TK-1 FNOL Claims Consultant Job Title: FNOL Claims Consultant Company Overview: Join Loss) Claims Consultant to join their Claims Department. Position Overview: As an FNOL Claims Consultant Consultant, you will play a crucial role in our client's claims process by efficiently handling first notice of assessing claims, and providing exceptional customer service to ensure a smooth and timely claims experience investigations to assess the validity and coverage of claims. Communicate with policyholders, agents, and third
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.
Reference: JHB000129-TK-1 FNOL Claims Consultant Job Title: FNOL Claims Consultant Company Overview: Join Loss) Claims Consultant to join their Claims Department. Position Overview: As an FNOL Claims Consultant Consultant, you will play a crucial role in our client's claims process by efficiently handling first notice of assessing claims, and providing exceptional customer service to ensure a smooth and timely claims experience investigations to assess the validity and coverage of claims. Communicate with policyholders, agents, and third
organisation.
Oversee the effective functioning of claims management processes across all product lines to
2. Claims Management
Loading pricing claims on the live schedule for timely investigation Managing stock claims (returns, damaged damaged stock, shortages, etc.) by forwarding claims not credited to the relevant depot Assessing if credit documents to the relevant depot Managing invalid claims by providing necessary proof or backup documents
the Directors Process traveling and subsistence claims of Directors Arrange petty cash and ensure compliance
the Directors Process traveling and subsistence claims of Directors Arrange petty cash and ensure compliance
documents Processing of insurance claims Complete and submit the claim form for insurance Supply the insurance
within stipulated timeframes and deadlines. Resolve claims and queries on the accounts. Weekly age analysis Experience dealing with and resolving technical claims with suppliers. Soft Skills: Able to work independently
Reporting: Analyzing data related to insurance claims, reimbursement rates, and payer mix can provide Solving: Resolving issues related to insurance claims, denials, and reimbursement discrepancies requires