insurance space is seeking a Medical Claims Clinical Auditor to join their team based in Port Elizabeth - on Bellville (Cape Town) or Centurion Responsibilities Internal Process: Apply scheme rules, clinical policies clinical support to non-clinical hospital claim auditors in terms of hospital tariff applications and clinical timeously. Build and maintain relationships with internal and external stakeholders. Reduce claim rejections
insurance space is seeking a Medical Claims Clinical Auditor to join their team based in Port Elizabeth - on Bellville (Cape Town) or Centurion Responsibilities Internal Process: Apply scheme rules, clinical policies clinical support to non-clinical hospital claim auditors in terms of hospital tariff applications and clinical timeously. Build and maintain relationships with internal and external stakeholders. Reduce claim rejections
to Stats SA. Internal Controls and Audit Support: Assist in ensuring effective internal controls, including stock takes and ad hoc internal audit tasks. Maintain audit files and assist auditors during external audits report by 31 August and provide audit files to auditors by 1 May. Maintain audit files on a monthly basis
to Stats SA. Internal Controls and Audit Support: Assist in ensuring effective internal controls, including stock takes and ad hoc internal audit tasks. Maintain audit files and assist auditors during external audits report by 31 August and provide audit files to auditors by 1 May. Maintain audit files on a monthly basis
asset registers. Prepare information and data for auditors. Prepare budget and monitor variances against
asset registers. Prepare information and data for auditors. Prepare budget and monitor variances against
finance departments. Build relationships with internal sales and operations. Working Capital Management processes. Identify, maintain, and document the internal controls necessary to ensure accurate accounting
finance departments. Build relationships with internal sales and operations. Working Capital Management processes. Identify, maintain, and document the internal controls necessary to ensure accurate accounting
Responsible for client data recording on the company's internal CRM software applications (XPlan, etc.), ensuring Manager are aligned and compliant to mandate). NAV (internal software), IT, Systems and KPIs: All client records
management - with product providers on queries and internal queries received from the regions. Request and necessary. Managing suspense entries in line with internal business processes. Preparation of month end reconciliation