Clinical Claims Adjudicator

THE JOB AT A GLANCEAs a Clinical Claims Adjudicator, you will be reporting to the Clinical Claims Adjudicator Team Leader, you will be responsible for effective and efficient adjudication of COIDA and Non-COID (diseases and accidents) i.e. ICD10 codes, Authorisation of treatment, TTD (Temporal Total Disability), claims estimates, Management of Claims MMI...

THE JOB AT A GLANCEAs a Life Claims Assessor, you will be reporting to the Claims Manager: Life, you will be responsible for adjudicating and processing claims in an effective and efficient manner within the prescribed guidelines set out by Rand Mutual Assurance.WHAT WILL YOU DO?Claims Adjudication: Verify claims captured for correctness and compliance...

PurposeTo effectively and efficiently process and adjudicate Funeral Fund Claims, within the scope of the Funeral Fund policy rules and prevailing legislation. Also, to enhance and improve customer experience through effective assessment of claims and meeting the requirements and expectations of the role set out below.Qualifications and Experience...

Job Advert Summary:An exciting new OSTI Specialist opportunity has just become available in our Insure, Operations (Customer Experience Area).*****Role ObjectivesTo be part of the team that deals with complaints that have been escalated from the ombudsman office or by customers and/or brokers requesting adjudication on internal complaints. Complaints are...

THE JOB AT A GLANCEAs the Pensions Medical Case Auditor (PMCA), you will be responsible for effectively and efficiently rendering medical support to internal and external stakeholders.WHAT WILL YOU DO? Monitoring of Hospital Admissions weekly and liaison with Case Managers. Give feedback to Case Managers and other Colleagues of Pensioners admitted in...

Warranty Administrator (Commercial Vehicles), Kempton Park JohannesburgMy client in the Automotive Industry is seeking an experienced Warranty Administrator to join their team based in Kempton Park.Minimum Requirements: Matric qualification or higher Proficient in MS Office Must have experience of at least 5 years in similar role as a Warranty Administrator...

Job Advert Summary:Helloan exciting new opportunity has just become available in our Hollard Life Solutions, in the Business Assurance area. We are looking to recruit a Ombudsman and OIA Case Specialist**Role Objectives:The primary purpose of the job is to receive and investigate complaints received directly from the National Financial Ombudsman (NFO) office...

Main purpose of the job: To provide support to the Executive DirectorLocation:- Ezintsha - 32 Princess of Wales Terrace, Parktown JohannesburgKey performance areas: Proactive diary management Arrange meetings take minutes, assemble, and distribute meeting packs timeously, follow up on meeting actions and track progress In the absence of the Executive...

**THE JOB AT A GLANCE** As a Clinical Claims Adjudicator, you will be reporting to the Clinical Claims Adjudicator Team Leader, you will be responsible for effective and efficient adjudication of COIDA and Non-COID (diseases and accidents) i.e. ICD10 codes, Authorisation of treatment, TTD (Temporal Total Disability), claims estimates, Management of Claims...

**THE JOB AT A GLANCE** As a Clinical Claims Adjudication, you will be reporting to the Clinical Claims Adjudication Team Leader, you will be responsible for effective and efficient adjudication of COIDA and Non-COID (diseases and accidents) i.e. ICD10 codes, Authorisation of treatment, TTD (Temporal Total Disability), claims estimates, Management of Claims...

**Purpose** To effectively and efficiently process and adjudicate Funeral Fund Claims, within the scope of the Funeral Fund policy rules and prevailing legislation. Also, to enhance and improve customer experience through effective assessment of claims and meeting the requirements and expectations of the role set out below. **Qualifications and Experience...

**Job Advert Summary**: An exciting new **OSTI Specialist **opportunity has just become available in our **Insure, Operations (**Customer Experience Area).** *** **Role Objectives** To be part of the team that deals with complaints that have been escalated from the ombudsman office or by customers and/or brokers requesting adjudication on internal...

**THE JOB AT A GLANCE** As the Pensions Medical Case Auditor (PMCA), you will be responsible for effectively and efficiently rendering medical support to internal and external stakeholders. **WHAT WILL YOU DO?** - Monitoring of Hospital Admissions weekly and liaison with Case Managers. - Give feedback to Case Managers and other Colleagues of Pensioners...

**THE JOB AT A GLANCE** As the Pensions Medical Case Assessor (PMCA), you will be responsible for effectively and efficiently rendering medical support to internal and external stakeholders. **WHAT WILL YOU DO?** - Monitoring of Hospital Admissions weekly and liaison with Case Managers. - Give feedback to Case Managers and other Colleagues of Pensioners...

**THE JOB AT A GLANCE** As the Pensions Medical Case Auditor (PMCA), you will be responsible for effectively and efficiently rendering medical support to internal and external stakeholders. **WHAT WILL YOU DO?** - Monitoring of Hospital Admissions weekly and liaison with Case Managers. - Give feedback to Case Managers and other Colleagues of Pensioners...

**THE JOB AT A GLANCE** As the Pensions Medical Case Assessor (PMCA), you will be responsible for effectively and efficiently rendering medical support to internal and external stakeholders. **WHAT WILL YOU DO?** - Monitoring of Hospital Admissions weekly and liaison with Case Managers. - Give feedback to Case Managers and other Colleagues of Pensioners...

**Job Advert Summary**: Helloan exciting new opportunity has just become available in our **Hollard Life Solutions, **in the **Business Assurance** area.** We are looking to recruit a **Ombudsman and OIA Case Specialist** **Role Objectives**: The primary purpose of the job is to receive and investigate complaints received directly from the National...

Warranty Administrator (Commercial Vehicles), Kempton Park - Johannesburg My client in the **Automotive Industry** is seeking an **experienced Warranty Administrato**r to join their team based in Kempton Park. **Minimum Requirements**: - Matric qualification or higher - Proficient in MS Office - Must have experience of at least 5 years in similar role...