client operating in the medical insurance space is seeking a Medical Claims Clinical Auditor to join their 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 their 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
managing service level agreements (SLAs) with third-party service providers. Strong leadership skills with maintain service level agreements (SLAs) with third-party service providers, ensuring compliance and performance
managing service level agreements (SLAs) with third-party service providers. Strong leadership skills with maintain service level agreements (SLAs) with third-party service providers, ensuring compliance and performance
administration, follow-up and resolution of all IOD claims. Absenteeism reports. Responsible for visitors' information is confidential. Claims and withdrawals of NBC Provident Fund claims. Opening of mail/post. Report
To provide and implement advice in respect of insurance needs and solutions to the company clients in years' experience as a Broker Consultant / Life Insurance Agent, etc. Ability to function at a strategic experience requirements in respect of long-term insurance products. Must not have been declared insolvent development). Completed supervision for long-term insurance categories. Fully computer literate, xPlan experience to: Analyse and identify Life and Short-Term Insurance (STI) opportunities within the client bases of
To provide and implement advice in respect of insurance needs and solutions to the company clients in years' experience as a Broker Consultant / Life Insurance Agent, etc. Ability to function at a strategic experience requirements in respect of long-term insurance products. Must not have been declared insolvent development). Completed supervision for long-term insurance categories. Fully computer literate, xPlan experience to: Analyse and identify Life and Short-Term Insurance (STI) opportunities within the client bases of
To provide and implement advice in respect of insurance needs and solutions to the company clients in years' experience as a Broker Consultant / Life Insurance Agent, etc. Ability to function at a strategic experience requirements in respect of long-term insurance products. Must not have been declared insolvent development). Completed supervision for long-term insurance categories. Fully computer literate, xPlan experience to: Analyse and identify Life and Short-Term Insurance (STI) opportunities within the client bases of
To provide and implement advice in respect of insurance needs and solutions to the company clients in years' experience as a Broker Consultant / Life Insurance Agent, etc. Ability to function at a strategic experience requirements in respect of long-term insurance products. Must not have been declared insolvent development). Completed supervision for long-term insurance categories. Fully computer literate, xPlan experience to: Analyse and identify Life and Short-Term Insurance (STI) opportunities within the client bases of
submit invoices and month end statements to third parties where necessary. Managing suspense entries in