seeking a dedicated and experienced Claims Assessor to ensure that all claims are assessed accurately and paid successful candidate will have a minimum of 2 years of claims assessing experience in the Medical Aid industry
Functions:
ence:
Effectively maintain claims standards and provide quality client service:
GAP claim documents received and to request any outstanding documents.
To follow the claims process
process and capture the claim information into the system.
To verify and update any client personal
policy record
To assess the validity of the claim following the terms and conditions of the clients'
make the relevant claim notes on the system.
To ensure a client's claim expectation is adequately
client or broker regarding their claim.
To meet your daily minimum claim targets with a high level of
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 structures while processing claims. Maintain accurate records of all claims assessments and payments. Provide
CONTRACT CONTRACT CONTRACT
Fraud/Claims with Online Purchases:
Seeking 4 to handle Claims on Online purchases, be responsible for investigating customer refund claims, identifying identifying fraudulent claims, and contacting customers who display unusually high claims rates.
A recent professional profile photo is to accompany your application
EMPLOYMENT TYPE : Permanent
SECTOR : Finance
BASIC SALARY : Market Related
START DATE : A.S.A.P / Immediate
REQUIREMENTS:
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 structures while processing claims. Maintain accurate records of all claims assessments and payments. Provide
support in the generation and provision of reliable claims assessment activities, to support key deliverables
Customer
Management Consultants who specialise in Plumbing Claims and are willing to work shifts.
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Minimum
short-term insurance experience in dealing with Plumbing Claims
Warranty Claims: Managing the entire warranty claims process, including submitting claims to manufacturers and completeness of documentation, and tracking claim status.