Claims Jobs in Pretoria, Gauteng
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Claims Assessor
Bestmed Medical Scheme
Faerie Glen
purpose of this position is to ensure that all claims are assessed using the appropriate rules and is error rate Production - Process the average paper claims Operational and Department targets Qualification Grade 12 Experience - Essential Minimum 2 years claims assessing experience in the Medical Aid industry
share this job on whatsappClaims Assessor
Pretoria
seeking a dedicated and experienced Claims Assessor to ensure that all claims are assessed accurately and paid successful candidate will have a minimum of 2 years of claims assessing experience in the Medical Aid industry
Functions:
- Assess all claims using the appropriate rules and guidelines.
- Ensure
- Ensure accurate and timely processing of claims.
- Verify claim details and documentation for accuracy healthcare providers and members to resolve any claim-related queries or issues.
- Adhere to the
Claims Consultant
Pretoria
Overview:
The overall purpose of the Claims Administration role is to ensure the efficient efficient and accurate processing of insurance claims in both short and long-term insurance lines. Attention to ersee the end-to-end claims administration process, including reviewing claims documentation, assessing as underwriters and claims adjusters, to gather necessary information for claim evaluation.
Claims Assessor Faerie Glen
Bestmed Medical SchemeFaerie Glen
purpose of this position is to ensure that all claims are assessed using the appropriate rules and is error rate Production - Process the average paper claims Operational and Department targets Qualification Grade 12 Experience - Essential Minimum 2 years claims assessing experience in the Medical Aid industry
Medical Claims Assessor Pretoria
Qetello HoldingsPretoria
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 structures while processing claims. Maintain accurate records of all claims assessments and payments. Provide
Medical Claims Assessor Market Related
Qetello HoldingsPretoria
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 structures while processing claims. Maintain accurate records of all claims assessments and payments. Provide
Teams Leader - Short Term And Life Claims
Pretoria
>Title: Team Leader – Short Term and Life Claims
Location: Pretoria East
Reports to: Claims Manager
Job Term and Life Claims Team Leader is responsible for leading and managing a team of claims professionals short-term and life insurance claims. The role involves overseeing the end-to-end claims process, ensuring timely timely and accurate claims adjudication, providing guidance and support to team members, and fostering
Short Term Insurance Claims Consultant R15 - R20 000 Pm
Skye PersonnelPretoria
R15 - R20 000 pm and 2 years experience in Short Term insurance claims (full process), Fluent English & Afrikaans underwriting principles 2 years experience in full claims function (short term insurance) Fluent English Assess and process claims Full claims function New business onboarding Loading of claim payments Compliance
Fraud Waste & Abuse Inspector
Pretoria
Annual Renumeration includes benefits experience in processing claims . 1 Year experience in forensic/investigative claims assessing or dealing dealing with fraud, waste and abuse claims in a medical scheme .
Requirements:
claims assessing and the understanding thereof. An understanding of claims processing system investigate/identify fraud, waste and abuse claims and submission of claim reports with updates on traction. Detect minimize losses pertaining to fraud, waste and abuse claims.
Educational Requirements:
Grade
Insurance Consultant Pretoria
Skye PersonnelPretoria
R15 - R20 000 pm and 2 years experience in Short Term insurance claims (full process), Fluent English & Afrikaans underwriting principles 2 years experience in full claims function (short term insurance) Fluent English Assess and process claims Full claims function New business onboarding Loading of claim payments Compliance
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