Consultant:claims Management

2 weeks ago

Centurion, Gauteng, South Africa PPS Recruitment Full time

Job Advert Summary:

Minimum Requirements:

  • A minimum of Grade 1
  • A minimum of 1 years' experience in a similar environment.
  • Sound knowledge of the medical aid industry, regulations, RPL, ISO and other related legislation.
  • Must be able to identify system risks and/or process and suggest solutions
  • Good communication, administration skills including record keeping and the ability to work under pressure.
  • Must be a strong team player.
  • Computer literacy (MS Office and Medical Administration system).

Duties and Responsibilities:

  • Reconcile member or provider claims received.
  • Accurate daily assessing of targets.
  • Manage quality error percentage.
  • Excellent administrative skills e.g. daily record keeping.
  • Escalate requests for corrections to relevant Consultant.

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