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 Grade 12 Experience - Essential Minimum 2 years claims assessing experience in the Medical Aid industry
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:
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 Grade 12 Experience - Essential Minimum 2 years claims assessing experience in the Medical Aid industry
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
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
motivate a team of claims professionals handling short-term and life insurance claims.
-Provide ongoing
objectives.
Claims management:
-Oversee the end-to-end claims process for both short-term
short-term and life insurance claims, ensuring adherence to company policies, procedures, and regulatory
escalated claims, providing guidance and assistance to team members as needed.
-Monitor claims metrics
Excellence:
-Champion a client-centric approach to claims management, prioritising prompt and empathetic
>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
experience in processing claims . 1 Year experience in forensic/investigative claims assessing or dealing dealing with fraud, waste and abuse claims in a medical scheme .
Requirements:
claims assessing and the understanding thereof. An understanding of claims processing system investigate/identify fraud, waste and abuse claims and submission of claim reports with updates on traction. Detect minimize losses pertaining to fraud, waste and abuse claims.
Educational Requirements:
Grade
will play a critical role in managing warranty claims and insurance matters for our client's automotive coordinating warranty repairs, processing insurance claims, and maintaining accurate records to ensure timely financial risk for the company. Coordinate warranty claims and repairs with automotive manufacturers and dealerships components. Maintain accurate records of warranty claims, repairs, and reimbursements, including documentation replaced and labor costs incurred. Process insurance claims for accidents, damages, and thefts involving fleet