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.
the medical insurance space is seeking a Medical Claims Clinical Auditor to join their team based in Port term contract. Nursing Diploma or Degree essential EE candidate preference. An awesome career opportunity 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
We have a position for a Claims Consultant based in Durban. Claims processing, problem solving, relationship reporting etc Must have Matric, NQF4, RE5 and 4 years claims expereince in building/property prefered. Salary
Overview:
The overall purpose of the Claims Administration role is to ensure the efficient efficient and accurate processing of insurance claims in both short and long-term insurance lines. Attention to ersee the end-to-end claims administration process, including reviewing claims documentation, assessing as underwriters and claims adjusters, to gather necessary information for claim evaluation.
speaking Commercial & Personal lines Claims Consultant to join a busy, well established and expanding non-motor claims and assist clients with any general and claim-related queries. Capturing all new claims where innovative and appropriate claims handling Ensures that customers claims are handled efficiently Maintain is an integral part at the start of the entire claims value chain, ensuring that complete and accurate Must love Claims Claims Negotiator with at least 3 years Personal and Commercial Lines Claims experience
Fully Qualified Claims Consultant Required for - Personal / Domestic Insurance NQF 4 Short Term Insurance Administer complete claims process according to defined claims procedures until claims are settled Apply Mak assessment of claims validity and estimate value and administer mandated claims Act as intermediary Must to be considered Matric 2 - 3 years Domestic Claims exposure R 22 000 Inclusive of Benefits
We have a position for a Claims Consultant based in Durban. Claims processing, problem solving, relationship reporting etc Must have Matric, NQF4, RE5 and 4 years claims expereince in building/property prefered. Salary
philosophy, analyse claims and other data when assessing claims. Providing feedback on all claims, liaising with decisions on claims worked on. Assessment of income, disability and critical illness claims following policy policy terms and claims philosophy as well as facilitate case management programmes where applicable You'll report to the Team Leader: Claims Assessing responsible for Claims. Your qualifications: • Grade 12 Outputs (include but is not limited to): • Evaluate claims forms and supporting documentation in preparation
(credits and/or full qualification)
dedicated and detail-oriented Commercial Claims Consultant to join their team. The successful candidate responsible for managing and processing insurance claims efficiently and effectively, ensuring a high level assist on the Claims system set up project as required by your manager; Gathering claims data from all keeping company claims records up to date, including recoveries; Setting up company claims reports as required required by your Manager; Assisting on technical claims and attending meeting with Brokers, as required;