Claims Assessor (JB4315) Claremont, Cape Town, Western Cape R16 000 - R19 000 CTC per month based on on experience Permanent A leading provider of insurance solutions, dedicated to delivering exceptional industry is looking for a claims assessor to join their team. As a Claims Assessor, you will play a crucial accurate processing of insurance claims as well as the validity of the claims. Additionally, you will to address claim expectations and manage inquiries. Minimum Requirements: Medical Aid claims processing
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
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to announce an opening for a Claims Assessor in our dynamic Gap Claims Assessing Department in Cape Town
Available: Claims Assessor
Job Highlights:
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
hire detail-orientated Quality Assessors (Claims Assessors) x 7Â who will be responsible do:
purpose of the Claims Specialist's role is to validate and administrate a client's claim following a fortuitous fortuitous event. The claims specialist will be responsible for various Non-Motor Claims. Claims settlement determinations in accordance with Standard Operating Procedure, claims guidelines, the specialist own mandate, and the advantageous Higher Certificate in Short term Insurance -NQF 5 or Full Qualification NQF 4 – highly advantageous experience in claims validations and settlement Exposure to short term insurance claims administration
essential
purpose of this position is to ensure that all claims are assessed using the appropriate rules and is Production Process the average paper claims of 550 lines and 3000 EDI claim lines as determined by reporting pertaining to the payment of claims. Requirements: Minimum 2 years claims assessing experience in the
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 Requirements: Matric 3- 5 years experience as a Claims Assessor or Insurance Loss Adjustor or similar role Fais accredited 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 productively to complete assigned tasks. Claims, Assessor, Insurance, Loss, Adjuster, Johannesburg, and, Cape