Medical Aid Claims Assessor Team Leader

About the Role: As a Claims Quality Assessor, you will play a critical role in ensuring the integrity of claims processed by our team.You will be responsible for validating claims data, conducting investigations, and performing quality assessments.Responsibilities:Validating claims data, clinical information, and decision made on the claim.Investigating...

Job Title: Claims Quality Assessor (ADMED) MMH-5We are seeking a highly skilled Claims Quality Assessor to join our Admed department, where your role will be to quality assess all claims processed by the team, ensuring accuracy, completeness, and validity.Key Responsibilities:Quality assessing all claims processed by the Admed claims team in the OWLS...

Claims Quality Assessor (ADMED) MMH-5Join to apply for the Claims Quality Assessor (ADMED) MMH-5 role at Guardrisk.Role PurposeAs a Claims Quality Assessor in our Admed department, your role is to quality assess all claims processed by the Admed claims assessors, checking for accuracy, completeness, and validity.RequirementsMatric / Grade 12Basic medical...

Santam Insurance is seeking an experienced Motor Claims Specialist to process motor claims efficiently and effectively.This role involves managing workload instructions from our system, communicating with clients, intermediaries, and service providers, and ensuring all documents are complete and accurate.You will also be responsible for appointing assessors...

Job OverviewSkillMap is seeking a seasoned Claims Professional to join our team in Bedfordview. As a key member of our claims administration department, you will be responsible for providing exceptional claims advice and administration services to our clients.Key ResponsibilitiesTo provide stakeholders with efficient claims advice and administration...

Job Summary: We are seeking a detail-oriented Claims Quality Assessor to join our team, responsible for ensuring the accuracy and validity of claims processed by the Admed claims team.The ideal candidate will possess excellent analytical and communication skills, with the ability to work effectively in a fast-paced environment.Responsibilities:Quality...

Job Overview: We are looking for a dedicated Claims Quality Assessor to join our team, responsible for ensuring the accuracy and validity of claims processed by the Admed claims team.The ideal candidate will possess strong analytical and communication skills, with the ability to work effectively in a fast-paced environment.Responsibilities:Validating claims...

Job Location3rd Floor, 26 Girton Road, Parktown, Johannesburg, 2193Job SummaryTo manage the telesales department to ensure that all orders are correctly processed, queries are resolved to meet required service delivery levels and maintain customer satisfaction.Duties & ResponsibilitiesTo achieve the set sales targets for the department to increase revenue...

Job Reference Number: RBS-118Department: ClaimsIndustry: InsuranceJob Type: PermanentPositions Available: 1Salary: Market RelatedJob DescriptionRole PurposeTo provide stakeholders (e.g. clients, account executives) with efficient claims advice and administration according to the required standards and procedures in support of the business...

We are looking for a highly motivated and organized individual to fill the position of Life Insurance Process Expert. The successful candidate will be responsible for ensuring that all life insurance claims are processed smoothly and efficiently, while maintaining high levels of customer satisfaction.The ideal candidate will possess excellent communication...

The role of a Life Claims Consultant at BetterSure Financial Consultants involves managing life insurance claims efficiently and effectively. This position requires strong communication skills to engage with clients, beneficiaries, and service providers.Key Responsibilities:Manage the end-to-end claims process for life insurance, including registration,...

Job title : Revenue Cycle Manager (RCM) - Corporate ServicesJob Location : Gauteng, PretoriaDeadline : April 04, 2025Quick Recommended LinksJobs by Location Job by industries DUTIES & RESPONSIBILITIES Revenue Cycle Oversight:Manage the full revenue cycle, including patient registration, charge capture, claims submission, payment posting, and collections....

Submit your CV to victoria.gough@betterhome.co.za by 20 March 2025PurposeThe Life Claims Consultant is responsible for processing and managing life insurance claims efficiently, accurately, and in compliance with regulatory requirements. This role involves engaging with clients, beneficiaries, and service providers to ensure smooth and empathetic claims...

Medical billing with coding experience and knowledgeDealing with medical aids/ COID and patients for collections of feesMonthly reportingComputer literate - Excell, Word and outlook and medical programs Elixir Live and GoodX essentialFully bilingual, well organized and self-motivated person with own transport.Position to be filled 2/1/2025

This role is based in Pretoria and involves working as a Claims Advocacy specialist for clients across various industry sectors. The ideal candidate will provide claim assessment, resolution, and finalization services to clients, ensuring timely registration of claims and maintaining relationships with the commissioner and clients.Key ResponsibilitiesCapture...

Acuideas is looking for an experienced Team Leader Operations to oversee the daily operations of underwriting and administration. This critical role is responsible for ensuring that all operational processes run smoothly and efficiently, while providing leadership and guidance to the team. The ideal candidate will be responsible for devising operational...

Medical Accounts Manager PositionClinix Health Group (Pty) Ltd is seeking a highly organized Medical Accounts Manager to optimize our billing processes and ensure timely payments from medical schemes.This role involves managing accounts receivable, negotiating with medical schemes, and analyzing financial data to identify areas for improvement.Key...

About the RoleAccurate prescription capturing, including acute and chronic medication.Inbound and outbound call handling.L02 group action diary mailbox and LIFEDA mailbox support.INV, urgent, extreme urgent, and WIPCORE action management.Personal out-of-workplace report attendance.Email responses from production or other departments.Duties and...

Assessor (JB5104)Rietfontein, PretoriaR20 – 25 000 CTC per monthPermanentSeeking a qualified and experienced Assessor to join our team in Rietfontein, Pretoria. The successful candidate must be accredited to assess on specific SAQA-aligned qualifications and have a solid understanding of training and assessment within the management and leadership...

BetterSure Financial Consultants is seeking a highly skilled Claims Specialist to join our team. As a key member of our short-term insurance claims processing team, you will be responsible for managing and resolving non-motor claims efficiently and effectively.Key Responsibilities:End-to-end claims processing, including registration, assessment, validation,...