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