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Medical Claims Assessor Jobs in Pretoria, Gauteng - Page 3

Jobs 21-30 of 219

Pharmaceutical Administrator

Pretoria  Market related

ong>Claim queries for Acute medication, Chronic medication, TTOs, Specialist medication, Casualty Casualty medication, Paper Claims from Pharmacies and Pathology claims.

  • Follow-up on outstanding results.
  • New membership medication queries.
  • Medication formulary queries.
  • Pharmacy notes from MIP system onto DMP system regarding medication approval.
  • Update provider details.
  • Update
  • Knowledge of medical terminology is an added advantage.
  • Medical scheme experience is


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  • Administrator Pretoria

     AfrijobsPretoria  R120 000 - R150 000 TCTC

    & Duties Claim queries for Acute medication, Chronic medication, TTO's, Specialist medication, Casualty Casualty medication, Paper Claims from Pharmacies and Pathology claims. Follow-up on outstanding chronic scripts necessary pathology results New membership medication queries Medication formulary queries Pharmacy deliveries notes from MIP system onto DMP system regarding medication approval Update provider details Update Pathology Computer literacy Knowledge of medical terminology is an added advantage Medical scheme experience is preferred


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    Administrator: Pharmaceutical R120 000 - R150 000 Tctc

     AfrijobsPretoria  R120 000 - R150 000 TCTC

    & Duties Claim queries for Acute medication, Chronic medication, TTO's, Specialist medication, Casualty Casualty medication, Paper Claims from Pharmacies and Pathology claims. Follow-up on outstanding chronic scripts necessary pathology results New membership medication queries Medication formulary queries Pharmacy deliveries notes from MIP system onto DMP system regarding medication approval Update provider details Update Pathology Computer literacy Knowledge of medical terminology is an added advantage Medical scheme experience is preferred


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    Electrician Pretoria

     Webs Technology Solutions - Webs31Pretoria

    QTCO/NAMB assessor registration in transport electrician (automotive electrician). Assessor showing 2


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    Senior Actuarial Analyst

    Brooklyn  Market related

    Full-Time

    Primary Industry:

    Health, Medical and related

    Secondary Industry:

    experience

  • Review demographics and financial claims data on a monthly basis
  • Monitor, analyse compilation of all annexures for the Council for Medical Schemes relating to members
  • Compile annual and designing value-added products within the medical scheme environment, along with MS SQL programming


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  • Senior Actuarial Analyst

    Brooklyn  Market related

    Full-Time

    Primary Industry:

    Health, Medical and related

    Secondary Industry:

    experience

  • Review demographics and financial claims data on a monthly basis
  • Monitor, analyse compilation of all annexures for the Council for Medical Schemes relating to members
  • Compile annual pricing and designing value-added products in the medical scheme environment, along with MS SQL programming


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  • Eb Administrator (12 Months Contract)

     Phaki PersonnelSouth Africa

    support for the processing and payments of pension claims. MINIMUM REQUIREMENTS: An appropriate three (3) experience in the processing and/or payment of claims Candidates with experience in the administration processing of Retirement fund/Employee Benefits claims will receive preference OR A Senior Certificate/Matric/Grade experience in the processing and/or payment of claims Candidates with experience in the administration processing of Retirement fund/Employee Benefits claims will receive preference Experience of the MS Office


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    Administrator Tshwane (pretoria)

     Phaki PersonnelSouth Africa

    support for the processing and payments of pension claims. MINIMUM REQUIREMENTS: An appropriate three (3) experience in the processing and/or payment of claims Candidates with experience in the administration processing of Retirement fund/Employee Benefits claims will receive preference OR A Senior Certificate/Matric/Grade experience in the processing and/or payment of claims Candidates with experience in the administration processing of Retirement fund/Employee Benefits claims will receive preference Experience of the MS Office


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    Senior Actuarial Analyst

    Brooklyn  Market related

    Full-Time

    Primary Industry:

    Health, Medical and related

    Secondary Industry:

    experience

  • Review demographics and financial claims data on a monthly basis
  • Monitor, analyse compilation of all annexures for the Council for Medical Schemes relating to members
  • Compile annual


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  • Eb Administrator (12 Months Contract)

    Pretoria

    /> Process Claims

    • Review applications/claims received for various types types of exits or claims
    • Check that all supporting documentation is attached as per the requirements requirements of the specific claim
    • Evaluate the member records reflected in the documentation and identified
    Process payment of claims:
    • Review the initial payment rejection
    • Review the summary of rejected applications/claims; identifying reasons for rejection based on rules


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    Average Annual Salary

    for Medical Claims Assessor jobs in Pretoria, Gauteng
    R 444,091