insurance space is seeking a Medical Claims Clinical Auditor to join their team based in Port Elizabeth - on clinical support to non-clinical hospital claim auditors in terms of hospital tariff applications and clinical medication appropriateness. Customer Service: Investigate hospital claim queries within the agreed service
insurance space is seeking a Medical Claims Clinical Auditor to join their team based in Port Elizabeth - on clinical support to non-clinical hospital claim auditors in terms of hospital tariff applications and clinical medication appropriateness. Customer Service: Investigate hospital claim queries within the agreed service
Call evaluations and follow up coaching. QA investigations and feedback to agents and Manager – including gaps. Monitor revenue – lower sold plans to be investigated. Lead management – check quality and who is
Call evaluations and follow up coaching. QA investigations and feedback to agents and Manager – including gaps. Monitor revenue – lower sold plans to be investigated. Lead management – check quality and who is
and assist Planning with factory stock counts. Investigate stock variances and resolve issues. Conduct reporting
and assist Planning with factory stock counts. Investigate stock variances and resolve issues. Conduct reporting
internal and external stakeholders. Complaint investigation and management. Administrative duties related
internal and external stakeholders. Complaint investigation and management. Administrative duties related