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Medical Claims Online Jobs in South Africa

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Fraud/claim With Online Purchases

Brackenfell

CONTRACT CONTRACT

Fraud/Claims with Online Purchases:

Seeking 4 contractors to handle Claims on Online purchases, be responsible for investigating customer refund claims, identifying identifying fraudulent claims, and contacting customers who display unusually high claims rates.

Conduct investigations into customer refund claims to identify those that may be fraudulent

  • Liaise provided
  • Monitor and identify trends in refund claims at a customer level or store level
  • Work


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  • Medical Claims Assessor Pretoria

     Qetello HoldingsPretoria

    Our client is a leading medical scheme based in Pretoria, dedicated to providing comprehensive healthcare 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


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    Medical Claims Assessor Market Related

     Qetello HoldingsPretoria

    Our client is a leading medical scheme based in Pretoria, dedicated to providing comprehensive healthcare 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


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    Medical Claims Clinical Auditor (ee)

    Port Elizabeth  Monthly

    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 accurate notes are made for all journals actioned on claims audited.
  • Assess prosthesis for PMB funding
  • Ensure accurate completion of authorizations on claim finalization.
  • Refer LOC/ LOS / item or drug


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  • Medical Claims Auditor Port Elizabeth

     HeadhuntersSouth Africa

    client operating in the medical insurance space is seeking a Medical Claims Clinical Auditor to join 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 accurate notes are made for all journals actioned on claims audited. Assess prosthesis for PMB funding when


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    Medical Claims Clinical Auditor (ee)

     HeadhuntersSouth Africa

    client operating in the medical insurance space is seeking a Medical Claims Clinical Auditor to join 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 accurate notes are made for all journals actioned on claims audited. Assess prosthesis for PMB funding when


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    Online Specialist

    Midrand

    experience, and someone who has experience working with online sales platforms (e.g. Takealot, shopify, Facebook sales

  • Online sales
  • E-Commerce exp
  • Google analytics
  • In-store and online incentives scoring to drive promotions.
  • Management of online loyalty programmes implementations

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    Claims Consultant

     New World Personnel ConsultantsUmhlanga Rocks

    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


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    Claims Consultant

     Status StaffingSouth Africa

    proficient Claims Consultant to offer stakeholders and account executives effective claims guidance and business objectives. The role involves minimizing claims and associated expenses to reduce overall costs essential. Additionally, keeping clients informed about claim progress and working towards achieving high client Financial: Ensure appropriate minimisation of claims and claims expenses Ensure and contribute to minimisation client informed regarding the progression of the claim Ensure and contribute to achieving the required


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    Commercial Claims

    Johannesburg  25000 Monthly

    in the West Rand

  • 5 + years Commercial Claims Experience
  • Afrikaans/English First Language

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    Average Annual Salary

    for Medical Claims Online jobs in South Africa
    R 396,933

    No. of Jobs added in the last week

    for this search.
    879