Our client is a leading medical scheme based in Pretoria, dedicated to providing comprehensive healthcare 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
Our client is a leading medical scheme based in Pretoria, dedicated to providing comprehensive healthcare 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
the Insurance field is on the look out for Claims Assessors to form part of their Team.Â
This person support in the generation and provision of reliable claims assessment activities, to support key deliverables
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 to claims assessors and consultants. Guide team members with risk assessment techniques, medical knowledge 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
is a non-profit, mutual medical scheme registered with the Council for Medical Schemes. We have been providing disability benefits, funeral cover, pension fund, medical aid and more. Access to development opportunities 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 - Essential Minimum 2 years claims assessing experience in the Medical Aid industry
is a non-profit, mutual medical scheme registered with the Council for Medical Schemes. We have been providing disability benefits, funeral cover, pension fund, medical aid and more. Access to development opportunities 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 - Essential Minimum 2 years claims assessing experience in the Medical Aid industry
hire detail-orientated Quality Assessors (Claims Assessors) x 7Â who will be responsible do:
support in the generation and provision of reliable claims assessment activities, to support key deliverables
Customer
support in the generation and provision of reliable claims assessment activities, to support key deliverables Requirements: Matric 3- 5 years experience as a Claims Assessor or Insurance Loss Adjustor or similar role assess and manage risk claims within relevant authority limits. Process special claims as and when they occur support to resolve relevant concerns related to claims. Customer Ensure own understanding and adherence resources productively to complete assigned tasks. Claims, Assessor, Insurance, Loss, Adjuster, Johannesburg,
Marketing Department, and working symbiotically with Medical Master, whilst assisting with ad hoc administration certificates to customers 9. Captures and reconciles the Medical Master invoices (matching of job-cards/quotes/invoices) CTC 7.5% towards Pension Fund (Compulsory) 50% Medical Aid (Optional) 18 Days Annual Leave Company shutsdown