similar programs
take ownership of their health. Check all medical aid claims are loaded on Health Bridge/Mediprax and and correctly submitted. Call Medical Aid in respect of submitted claims and confirm status of claims. Follow-ups
Work experience
At least 2 - 3 year's experience in processing claims . 1 Year experience in forensic/investigative claims assessing or dealing with fraud, waste and abuse claims in a medical scheme .
Requirements:
Knowledge
Reference: 42446325 Road Accident Fund Purpose of the Job: Reporting to the Senior Manager: Forensics Investigation, the successful incumbent is responsible for conducting forensics investigations in the respective area into fraudulent matters such as claims lodged, medical fraud, corruption, briber
Reference: 42446303 Road Accident Fund Purpose of the Job: Reporting to the Senior Manager: Forensics Investigation, the successful incumbent is responsible for conducting forensics investigations in the respective area into fraudulent matters such as claims lodged, medical fraud, corruption, briber
Reference: 42446202 Road Accident Fund Purpose of the Job: Reporting to the Head: Forensics, the successful incumbent is accountable to conduct organizational wide forensics investigations into fraudulent matters such as claims lodged, medical fraud, corruption, bribery, collusion or cybercrime agai
Reference: 42446202 Road Accident Fund Purpose of the Job: Reporting to the Head: Forensics, the successful incumbent is accountable to conduct organizational wide forensics investigations into fraudulent matters such as claims lodged, medical fraud, corruption, bribery, collusion or cybercrime agai
Reference: 42446325 Road Accident Fund Purpose of the Job: Reporting to the Senior Manager: Forensics Investigation, the successful incumbent is responsible for conducting forensics investigations in the respective area into fraudulent matters such as claims lodged, medical fraud, corruption, briber
and within deadline - Handle and resolve medical and claim related fund queries - Identify high risk