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
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 the defined Committees (Benefits Committee (BC), Medical Panel (MP), Management Benefits Committee (MBC)) cases; implementation of Benefits Committee & Medical Panel decisions and requests / referrals for case background screening and assessments. The post MANAGER: CLAIMS PROCESSING appeared first on freerecruit.co.za
philosophy, analyse claims and other data when assessing claims. Providing feedback on all claims, liaising with decisions on claims worked on. Assessment of income, disability and critical illness claims following policy policy terms and claims philosophy as well as facilitate case management programmes where applicable You'll report to the Team Leader: Claims Assessing responsible for Claims. Your qualifications: • Grade 12 qualification; a medical degree preferable Your Outputs (include but is not limited to): • Evaluate claims forms
To evaluate and present applications for funding and structure deals that contribute towards unit objectives and industry development goals. This would include performing the financial and/or technical and/or marketing due diligence functions and ensuring risk identification and mitigation.
philosophy, analyse claims and other data when assessing claims. Providing feedback on all claims, liaising with decisions on claims worked on. Assessment of income, disability and critical illness claims following policy policy terms and claims philosophy as well as facilitate case management programmes where applicable You'll report to the Team Leader: Claims Assessing responsible for Claims. Your qualifications: • Grade 12 qualification; a medical degree preferable Your Outputs (include but is not limited to): • Evaluate claims forms
end general ledger reconciliation reports, for medical aid, provident fund, union
Please apply online. FROGG Recruitment We offer Medical Aid Contribution, Provident Fund Contribution
implementation of the risk model and life claims philosophy, analysis of claims and other data to recommend and implementation of the risk model and life claims philosophy, analysis of claims and other data to recommend and (Essential) Relevant tertiary qualification; a medical diploma/degree beneficial Min 2-3 years' experience
implementation of the risk model and life claims philosophy, analysis of claims and other data to recommend and implementation of the risk model and life claims philosophy, analysis of claims and other data to recommend and (Essential) Relevant tertiary qualification; a medical diploma/degree beneficial Min 2-3 years' experience
end general ledger reconciliation reports, for medical aid, provident fund, union Capturing all manual leave process Liaise with external service providers, medical aids, provident fund insurance and ensure legal compliance