medical insurance space is seeking a Medical Claims Clinical Auditor to join their team based in Port Elizabeth hospital nursing experience. Previous exposure to clinical auditing is highly advantageous. Be available Responsibilities INTERNAL PROCESS Apply scheme rules, clinical policies and protocols to funding. Action allocated case managers for resolution. Act as clinical support to non-clinical hospital claim auditors in terms of of hospital tariff applications and clinical guidance (e.g. procedures, devices and drug utilization)
Clinical Risk Management Specialist Industry: Insurance Location: Cape Town Type: Hybrid (3 In/ 2 Out) seeks to employ a Clinically qualified individual to assist within their Clinical Risk Management team with clients to address risk profiles. Provide clinical leadership and support. Analyze research data the relevant council. Proven underwriting and clinical risk management working experience within Managed
Clinical Risk Management Specialist Industry: Insurance Location: Cape Town Type: Hybrid (3 In/ 2 Out) seeks to employ a Clinically qualified individual to assist within their Clinical Risk Management team with clients to address risk profiles. Provide clinical leadership and support. Analyze research data the relevant council. Proven underwriting and clinical risk management working experience within Managed
medical insurance space is seeking a Medical Claims Clinical Auditor to join their team based in Port Elizabeth hospital nursing experience. Previous exposure to clinical auditing is highly advantageous. Be available Responsibilities INTERNAL PROCESS Apply scheme rules, clinical policies and protocols to funding. Action allocated case managers for resolution. Act as clinical support to non-clinical hospital claim auditors in terms of of hospital tariff applications and clinical guidance (e.g. procedures, devices and drug utilization)
and technologies for infusion, transfusion, and clinical nutrition, is looking for an Assistant Financial
and technologies for infusion, transfusion, and clinical nutrition, is looking for an Assistant Financial
and technologies for infusion, transfusion, and clinical nutrition, is looking for an Assistant Financial
end-to-end delivery of customer outcomes and will facilitate and administer processes necessary to achieve and partners. Key responsibilities Insurance Facilitate the surrender of customer retirement annuities with South African based insurance companies. Facilitate the surrender of all other customer held policies with South African based insurance companies. Facilitate the transfer of customer section 14 funds and/or financial products (e.g., policies). Identify and facilitate cancellation of cessions on customer policies
end-to-end delivery of customer outcomes and will facilitate and administer processes necessary to achieve responsibilities
Insurance
containment in the long run, obtain landlord consent, facilitate the timely renewal and renegotiation of rentals rentals, attend regular site meetings, facilitate dispute resolution ensuring business continuity and prevent costs Handling lease amendments and addendums Facilitating communication between the company, landlords