seeking a dedicated and experienced Claims Assessor to ensure that all claims are assessed accurately and paid successful candidate will have a minimum of 2 years of claims assessing experience in the Medical Aid industry
Functions:
ðð Seeking a Superstar Claims Assessor! ðð
Are you ready to step into a role
to announce an opening for a Claims Assessor in our dynamic Gap Claims Assessing Department in Cape Town
Available: Claims Assessor
Job Highlights:
seeking a dedicated and experienced Claims Assessor to ensure that all claims are assessed accurately and paid of 2 years of claims assessing experience in the Medical Aid industry. Assess all claims using the appropriate Ensure accurate and timely processing of claims. Verify claim details and documentation for accuracy and healthcare providers and members to resolve any claim-related queries or issues. Adhere to the clients structures while processing claims. Maintain accurate records of all claims assessments and payments. Provide
purpose of this position is to ensure that all claims are assessed using the appropriate rules and is Production Process the average paper claims of 550 lines and 3000 EDI claim lines as determined by reporting pertaining to the payment of claims. Requirements: Minimum 2 years claims assessing experience in the
seeking a dedicated and experienced Claims Assessor to ensure that all claims are assessed accurately and paid of 2 years of claims assessing experience in the Medical Aid industry. Assess all claims using the appropriate Ensure accurate and timely processing of claims. Verify claim details and documentation for accuracy and healthcare providers and members to resolve any claim-related queries or issues. Adhere to the clients structures while processing claims. Maintain accurate records of all claims assessments and payments. Provide
purpose of this position is to ensure that all claims are assessed using the appropriate rules and is Production Process the average paper claims of 550 lines and 3000 EDI claim lines as determined by reporting pertaining to the payment of claims. Requirements: Minimum 2 years claims assessing experience in the
attend to the receipt of the claim and all administration of Short-Term Claims allocated. To provide service excellence in daily tasks when assisting clients with claims, providing correct information and to serve as client and the insurer. Provide meaningful input to facilitate the finalization of the Claim. Schedule and and prioritize the workload to close the claim out within the required deadlines.
Education
working with short-term Insurance claims – non negotiable
JOB DESCRIPTION Key Responsibilities: Execute business coaching principles diligently and effectively in line with EX and CX standards Ensuring that the daily, weekly, and monthly productivity targets are met according to the department's SLA Measure adherence to compliance by ensuring fair and mini
JOB DESCRIPTION Key Responsibilities: Execute business coaching principles diligently and effectively in line with EX and CX standards Ensuring that the daily, weekly, and monthly productivity targets are met according to the department's SLA Measure adherence to compliance by ensuring fair and mini
in the West Rand