claims assessing experience in the Medical Aid industry. Assess all claims using the appropriate rules and
claims assessing experience in the Medical Aid industry. Assess all claims using the appropriate rules and
Credit Controller to assist with Private and medical aid claims. Implement credit control procedures for Psychiatry. Follow up with medical aids to ensure prompt payment of outstanding claims. Apply any necessary Advices (RA) Resolve rejections from medical aids and upfront claim rejections Submit paper claims when
and within deadline - Handle and resolve medical and claim related fund queries - Identify high risk
Keep abreast of changes in medical aid procedures and requirements for claims and dispensing. Advise and
Keep abreast of changes in medical aid procedures and requirements for claims and dispensing. Advise and
types of reports from medical practitioners • Compare the reorts to our exisitng claims criteria to establish Assessing • Medical Background • Experience in both group and life individual life claims (Essential)
types of reports from medical practitioners • Compare the reorts to our exisitng claims criteria to establish Assessing • Medical Background • Experience in both group and life individual life claims (Essential)
: 50 % Discovery Medical Aid , Life & Funeral Policy, Provident Fund Fuel claims will be paid once
: 50 % Discovery Medical Aid , Life & Funeral Policy, Provident Fund Fuel claims will be paid once