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Medical Claims Assessor Jobs in South Africa

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Life Insurance Claims Assessor

Pretoria

JOB TITLE: Life Claims Assessor

AREA: Waterkloof, Pretoria East

Report to: Claims Manager

Job Overview:

Our detail-oriented Life Claims Assessor with specialised knowledge in insurance claims related to retrenchment accurate and efficient claim assessments and settlements. The Life Claims Assessor will be responsible for for evaluating and processing claims in these specific areas, requiring a deep understanding of policy


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Gap Claims Assessor

 Masa Outsourcing LtdSouth Africa

experienced Gap Claims Assessor. Requirements: Applicants must have a thorough understanding of medical aid operations all GAP claim documents received and to request any outstanding documents. To follow the claims process process and capture the claim information into the system. To verify and update any client personal information system policy record To assess the validity of the claim following the terms and conditions of the clients' and to make the relevant claim notes on the system. To ensure a client's claim expectation is adequately


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Claims Assessor East London

 Future CareersEast London

looking for a Claims Assessor (Buildings) to join their East London offices. As the Claims Assessor (Buildings) and business building claims. Responsibilities Validate all incidents and claims Meeting with clients


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Claims Assessor (buildings)

 Future CareersEast London

looking for a Claims Assessor (Buildings) to join their East London offices. As the Claims Assessor (Buildings) and business building claims. Responsibilities Validate all incidents and claims Meeting with clients


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Claims Assessor (gap Cover) - 22460

 Sinakho Staffshop LtdSouth Africa

large GAP Cover book. GAP cover claims - including assessing of claims, by taking pre-existing conditions consideration. Assessing GAP cover insurance claims. Process claims administration. External liaison. Matric/NFQ relevant medical knowledge to understand ICD10 codes and other terms in order to assess claims. Experience Experience in claims/assessing GAP cover claims. Familiar with PMB's. Market related.


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Medical Claims Clinical Auditor (ee)

Port Elizabeth  Monthly

purpose of this temporary role is to ensure hospital claims are audited timeously and accurately with the focus reducing wastage and abuse, as well as to ensure that claims are processed according to authorizations for a allocated hospital claims for audit within department KPIs and CMS requirements for claims payment.

  • Ensure accurate notes are made for all journals actioned on claims audited.
  • Assess prosthesis for PMB funding
  • Ensure accurate completion of authorizations on claim finalization.
  • Refer LOC/ LOS / item or drug


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  • Medical Claims Auditor Port Elizabeth

     HeadhuntersSouth Africa

    client operating in the medical insurance space is seeking a Medical Claims Clinical Auditor to join purpose of this temporary role is to ensure hospital claims are audited timeously and accurately with the focus reducing wastage and abuse, as well as to ensure that claims are processed according to authorizations for a allocated hospital claims for audit within department KPIs and CMS requirements for claims payment. Ensure accurate notes are made for all journals actioned on claims audited. Assess prosthesis for PMB funding when


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    Medical Claims Clinical Auditor (ee)

     HeadhuntersSouth Africa

    client operating in the medical insurance space is seeking a Medical Claims Clinical Auditor to join purpose of this temporary role is to ensure hospital claims are audited timeously and accurately with the focus reducing wastage and abuse, as well as to ensure that claims are processed according to authorizations for a allocated hospital claims for audit within department KPIs and CMS requirements for claims payment. Ensure accurate notes are made for all journals actioned on claims audited. Assess prosthesis for PMB funding when


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    Claims Assessor Florida, City Of Johannesburg Metropolitan Municipality

     Sinakho Staffshop LtdSouth Africa

    large GAP Cover book. GAP cover claims - including assessing of claims, by taking pre-existing conditions consideration. Assessing GAP cover insurance claims. Process claims administration. External liaison. Matric/NFQ relevant medical knowledge to understand ICD10 codes and other terms in order to assess claims. Experience Experience in claims/assessing GAP cover claims. Familiar with PMB's. Market related.


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    Claims Assessor Cape Town - Cape Flats (maccassar - Landsdowne)

     Masa Outsourcing LtdSouth Africa

    experienced Gap Claims Assessor. Requirements: Applicants must have a thorough understanding of medical aid operations all GAP claim documents received and to request any outstanding documents. To follow the claims process process and capture the claim information into the system. To verify and update any client personal information system policy record To assess the validity of the claim following the terms and conditions of the clients' and to make the relevant claim notes on the system. To ensure a client's claim expectation is adequately


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    Average Annual Salary

    for Medical Claims Assessor jobs in South Africa
    R 392,110

    No. of Jobs added in the last week

    for this search.
    904