to the ongoing enhancement and execution of the claims assessment methodology across Critical Illness Disability benefit lines. Approves or declines claim submissions without supervision within company guidelines greatest risk. Provide guidance and assistance to claims assessors and consultants. Guide team members with the claims assessment methodology, including: Current best industry and company practices Claims research to ensure consistent application of these in the claims assessment environment. To partner and collaborate
Responsibilities • Assess the validity of the claim and documentation • Invalid claims will be rejected/ Repudiated • Assure capturing of claims are done accurately • Assure all criteria is met to pay claim • Assure the quality requirements for successful claims payment is done timeously • Asses claims for possible fraud risks • on-the-job training for new staff R8 000 The post Claims Administrator Wanted appeared first on freerecruit
/>EMPLOYMENT TYPE : Permanent/ Temporary
SECTOR : Claims
BASIC SALARY : Market Related
START DATE
client claims related to insurance
/>EMPLOYMENT TYPE : Permanent/ Temporary
SECTOR : Claims
BASIC SALARY : Market Related
START DATE
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an English Claims Administrator to join their team. This role involves managing client claims related to EMPLOYMENT TYPE : Permanent/ Temporary SECTOR : Claims BASIC SALARY : Market Related START DATE : A.S / Immediate REQUIREMENTS: 1 year experience in claims processing and familiarity with related procedures clients' insurance claims via phone calls and emails. Identifying and processing claims using established and organizational skills to effectively manage claims resolution. Providing excellent customer care by
an English Claims Administrator to join their team. This role involves managing client claims related to EMPLOYMENT TYPE : Permanent/ Temporary SECTOR : Claims BASIC SALARY : Market Related START DATE : A.S / Immediate REQUIREMENTS: 1 year experience in claims processing and familiarity with related procedures clients' insurance claims via phone calls and emails. Identifying and processing claims using established and organizational skills to effectively manage claims resolution. Providing excellent customer care by
Manage the Benefits Investigation and claims processing function, ensuring the provision of professional payment of benefits, manage issues associated with claims and benefit administration BASIC JOB DESCRIPTION background screening and assessments. The post MANAGER: CLAIMS PROCESSING appeared first on freerecruit.co.za
>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
on the interpretation of personnel policies compensation and benefit programs and collective agreements
Demographics 1.1. Ensure that the patient demographic and claim data is correctly captured on CAP prior to the Account providers on eCOIDA or alternatively complete the claim on eCOIDA as well as the uploading of documents outstanding claim related documentation on debtor’s book(s). 6.2. Investigate such not accepted claims and request batch). 7. Registration of claims on CF website 7.1. Ensure that high value claims in batches are promptly on the CF website. 7.2. Assist with registering claims via the Mirror System as needed by management.