Claims Assessor Faerie Glen - South Africa
HR insync
Company One of the largest private Medical Aid companies in SA. They have been established for 20 years and are striving to be 1 in SA. Purpose The purpose of this position is to ensure that all claims are assessed using the appropriate rules and is paid correctly in line with the medical aid benefit and tariff structures. Responsibilities Quality Measuring of individual error rate to ensure no costs incurred due to assessing errors made. Production Process the average paper claims of 550 lines and 3000 EDI claim lines as determined by reporting and measuring on the new BIT administration system. Operational and Department targets Reaching overall targets in the Department pertaining to the payment of claims. Requirements: Minimum 2 years claims assessing experience in the Medical Aid industry Grade 12 R Highly Negotiable on Experience
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