Consultant: Funeral Adjudication x 2
7 days ago
- Jobs by Location
- Job by industries
Key Performance Areas
Funeral adjudication
- Review the claim against the funeral adjudication standards
- Apply funeral benefit adjudication rules to determine quantum
- Generate funeral product offer using relevant offer template
- Obtain approval in line with DOA
- Research Analyse and review policies and laws relevant to assigned cases.
- After approval communicate the offer to the claimant through offer management
Quality Assurance
- Participate in the consultations process on the implementation of claims and related processes
- Ensure that claims and processes are implemented and maintained at the highest standards.
- Maintain the implementation an unusual occurrence procedures
- Quality assure the funeral adjudication claims before they can be progressed to the phase of claims processing
Administrative support
- Deal with/and respond to correspondence
- Produce documents, briefing papers, reports, and presentations.
- Assist with typing and editing briefs, technical papers, letters to various parties and memos.
Reporting
- Track and report against set objectives and targets
- Report on emerging risks
- Provide ad hoc reports on process improvement initiative
Stakeholder management
- Maintain healthy relationships with all stakeholders
- Follow up and feedback to all stakeholders to keep them updated on the status of a query
- Respond to queries within the predefined turnaround times
Qualifications and Experience
- Bachelor’s Degree/Advanced Diploma in a related qualification
- Relevant 3 years’ experience in a claims adjudication related environment.
- Consultancy jobs
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Consultant: Funeral Adjudication x 2
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Funeral Adjudication Expert
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Cape Town, Western Cape, South Africa Road Accident Fund Full timeJob DescriptionWe are seeking a highly skilled Funeral Adjudication Expert to join our team at the Road Accident Fund. In this role, you will be responsible for processing and adjudicating death product claims in accordance with established standards and regulations.Key Responsibilities:Review claims against funeral adjudication standards and apply relevant...
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