variances. Revenue/Debtors Check all medical aid claims are loaded on Health Bridge and correctly submitted Medical Aid in respect of submitted claims and confirm status of claims. Follow-ups on payments due from Reconciliation of unmatched items on Health Bridge Claim reversal confirmations, approvals, and allocations allocations. Compile weekly report for each clinic on claim status. Weekly follow-up on medical aid outstanding
variances. Revenue/Debtors Check all medical aid claims are loaded on Health Bridge and correctly submitted Medical Aid in respect of submitted claims and confirm status of claims. Follow-ups on payments due from Reconciliation of unmatched items on Health Bridge Claim reversal confirmations, approvals, and allocations allocations. Compile weekly report for each clinic on claim status. Weekly follow-up on medical aid outstanding
service providers with details of progress on payment claims and services. Help resolve queries from internal Reconciliation Administration Reconciliations on claim matters that are requested and not yet paid. Reconciliation Reconciliation of bank attachment transactions to the claims management system. Tracking and recording of outstanding Validation of claim data in terms of data analysis. Stakeholder Relations Validation of claim data in terms
service providers with details of progress on payment claims and services. Help resolve queries from internal Reconciliation Administration Reconciliations on claim matters that are requested and not yet paid. Reconciliation Reconciliation of bank attachment transactions to the claims management system. Tracking and recording of outstanding Validation of claim data in terms of data analysis. Stakeholder Relations Validation of claim data in terms
technical investigation on Loss Ratio and in-depth claims analysis, corrective actions to be implemented manager with ad hoc requests for underwriting and claims in the Commercial Department. New Business Promoting with complex commercial underwriting matters and claims. Risk Surveys Assisting in communicating and promoting well as brokers and administrators. Claims Assisting the Claims department with Queries on an ad-hoc
technical investigation on Loss Ratio and in-depth claims analysis, corrective actions to be implemented manager with ad hoc requests for underwriting and claims in the Commercial Department. New Business Promoting with complex commercial underwriting matters and claims. Risk Surveys Assisting in communicating and promoting well as brokers and administrators. Claims Assisting the Claims department with Queries on an ad-hoc
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Grow Relationships
through proactive, innovative, and appropriate claims handling. Identify and mitigate TCF/Market Conduct compliance with regulatory requirements. Manage the claims process, ensuring efficiency and accuracy. Manage involved with claim tasks. Identify, investigate, and resolve any challenges relating to claims being handled handled in line with claims policies and procedures such as SLAs and Turnaround Time(s). Meeting of set outstanding claims monthly. (Outstanding listings) Where applicable, authorise and validate claims that does
ledger including premium, reinsurance premium, claims, recoveries, commissions and fees. Process reserves client onto the general ledger i.e. outstanding claims, Incurred But Not Reported (“IBNR”), Process income Manage the collection of premiums and settlement of claims Ensure compliance with accounting standards and
ledger including premium, reinsurance premium, claims, recoveries, commissions and fees. Process reserves client onto the general ledger i.e. outstanding claims, Incurred But Not Reported (“IBNR”), Process income Manage the collection of premiums and settlement of claims Ensure compliance with accounting standards and