cating with the client regarding nature of the claim
ENVIRONMENT: A highly meticulous & solutions-driven Claims Assessor: Life is sought by a dynamic provider calculate the correct settlement for CPP (Life) Claims assessed. You will check the status of the policy premium (current and up to date), to facilitate claim processing, work through negative deferred days policy holders and business partners in respect of Claims. Applicants will need Grade 12/Matric, a relevant relating to the specialist/technical nature of life claims assessment & a solid understanding of medical
looking for a qualified Assessor to join our life claims team. Please see the requirements below:
relating to the specialist/technical nature of life claims assessment.
Reference: DUR002069-CW-1 DUR002069 - Affinity Claims Administrator– Kloof, Kzn Purpose of the job: To role in receiving and processing technology-based claims from inception to repair or payout status. Your external customers to track and process insurance claims and related administration, ensuring adherence in an inbound Call Centre environment. Insurance Claims experience. Proficient in telephone etiquette. computer literacy in MS Word and Excel. Investigate claims by contacting relevant clients to obtain outstanding
Reference: DUR002069-CW-1 DUR002069 - Affinity Claims Administrator– Kloof, Kzn Purpose of the job: To role in receiving and processing technology-based claims from inception to repair or payout status. Your external customers to track and process insurance claims and related administration, ensuring adherence in an inbound Call Centre environment. Insurance Claims experience. Proficient in telephone etiquette. computer literacy in MS Word and Excel. Investigate claims by contacting relevant clients to obtain outstanding
highest technical claims knowledge and systems understanding, when resolving claims and providing support department.Our area of expertise consists of building claims. The inherent goal is to consistently exceed, and settling of claims whilst applying risk management principles at a consultant level. Claims Processing obligations revolve: • Authorize claims within the set mandate and resolve all claims within the agreed productivity productivity targets and turnaround times by utilizing the claims diary system effectively. • Apply and effectively
Claims Processing Authorize claims within the set mandate and resolve all claims within the agreed productivity productivity targets and turnaround times by utilizing the claims diary system effectively. Apply and effectively understanding of claim rejections. Demonstrate a clear understanding of the management of claims handling that correct appointment of service providers to the claims. Demonstrate a thorough understanding of the report report and quotes to communicate prompt claims resolution to the customer Practice and Promote Consistent
Claims Processing Authorize claims within the set mandate and resolve all claims within the agreed productivity productivity targets and turnaround times by utilizing the claims diary system effectively. Apply and effectively understanding of claim rejections. Demonstrate a clear understanding of the management of claims handling that correct appointment of service providers to the claims. Demonstrate a thorough understanding of the report report and quotes to communicate prompt claims resolution to the customer Practice and Promote Consistent
Reference: CPT005178-KJ-1 Healthcare Claims Administrator A leadership team that values autonomy R15 Ensure that all claims are accurate before they are submitted to the medical schemes Clear claim rejections annually Follow - up on all outstanding claims Re-submit outstanding claims that need fixing Maintain a low age not zero Follow up on short payments Follow up on claims regularly with valid updates at each point of query
ENVIRONMENT: A highly meticulous & solutions-driven Claims Assessor: Life is sought by a dynamic provider calculate the correct settlement for CPP (Life) Claims assessed. You will check the status of the policy premium (current and up to date), to facilitate claim processing, work through negative deferred days policy holders and business partners in respect of Claims. Applicants will need Grade 12/Matric, a relevant relating to the specialist/technical nature of life claims assessment & a solid understanding of medical