medical insurance space is seeking a Medical Claims Clinical Auditor to join their team based in Port Elizabeth hospital nursing experience. Previous exposure to clinical auditing is highly advantageous. Be available Responsibilities Internal Process: Apply scheme rules, clinical policies and protocols to funding. Action allocated case managers for resolution. Act as clinical support to non-clinical hospital claim auditors in terms of of hospital tariff applications and clinical guidance (e.g. procedures, devices and drug utilization)
medical insurance space is seeking a Medical Claims Clinical Auditor to join their team based in Port Elizabeth hospital nursing experience. Previous exposure to clinical auditing is highly advantageous. Be available Responsibilities Internal Process: Apply scheme rules, clinical policies and protocols to funding. Action allocated case managers for resolution. Act as clinical support to non-clinical hospital claim auditors in terms of of hospital tariff applications and clinical guidance (e.g. procedures, devices and drug utilization)
negotiating annual increases for clients. Ensure clinics comply with all legal requirements and internal reporting findings. Training of new employees on clinic protocols and procedures. Manage onboarding of of new client contracts. Ensure that clinics have necessary resources to deliver on expected services. various clinics as and when required. Coordination of staffing and leave management at various clinics. Recruiting
negotiating annual increases for clients. Ensure clinics comply with all legal requirements and internal reporting findings. Training of new employees on clinic protocols and procedures. Manage onboarding of of new client contracts. Ensure that clinics have necessary resources to deliver on expected services. various clinics as and when required. Coordination of staffing and leave management at various clinics. Recruiting
Reference: PE002468-MT-1 Our client in the Agricultural Research industry is currently looking to add an Agricultural requirements. Responsibilities, but not limited to: Research on the protocols for development as requested requested by customers. The development of research projects. Project planning – lay-out, execution and evaluation
Identify and research potential clients through various channels, including online research, networking
Identify and research potential clients through various channels, including online research, networking
Prepare investment proposals and portfolio reviews. Research, select and compare appropriate investments/products/vehicles available, and changes in product provider rates. Researching existing and potential replacement products in quotations from different insurers. Additional research information. Assist in drawing up of Wills and
Prepare investment proposals and portfolio reviews. Research, select and compare appropriate investments/products/vehicles available, and changes in product provider rates. Researching existing and potential replacement products in quotations from different insurers. Additional research information. Assist in drawing up of Wills and
confirming logical sequence and flowcharts, researching and employing established operations. Verifies