Quality Assurer
2 days ago
Quality Assurer (Medical Claims)
Quality Assurer (Medical Claims)Apply locations Johannesburg time type Full time posted on Posted 2 Days Ago time left to apply End Date: March 22, 2025 (1 day left to apply) job requisition id R29383
Job DescriptionTo facilitate quality delivery and ensure adherence to quality standards across various business segments.
To ensure implementation of identified quality methodologies and improvement initiatives.
- Facilitate quality delivery across the various teams.
- Monitor quality adherence and compliance to quality standards.
- Ensure implementation of identified quality methodologies and improvement initiatives.
- Deploy the quality management tools.
- Provide support and act as a feedback channel for quality issues.
- Communicate quality initiatives.
- Provide ongoing intelligence on customers and competitors using internal and external data sources i.e. monitor surveys etc.
- Offer input into market analysis and segmentation.
- Assist in aligning processes in the business and to ensure that this is in line with customers' expectations.
- Identify possible risks in the area and come up with suitable action plans to ensure there are no loopholes in the process.
Requirements:
- Minimum Matric with experience in a similar role
- Minimum 2-3 years of experience in medical claims processing, quality assurance, or risk assessment
- Experience with retrenchment, disability, life cover, health, and critical illness claims is a strong advantage
- Knowledge of medical insurance policies, claims procedures, and regulatory requirements
Take note that applications will not be accepted on the below date and onwards, kindly submit applications ahead of the closing date indicated below.
22/03/25
All appointments will be made in line with FirstRand Group's Employment Equity plan. The Bank supports the recruitment and advancement of individuals with disabilities. In order for us to fulfill this purpose, candidates can disclose their disability information on a voluntary basis. The Bank will keep this information confidential unless we are required by law to disclose this information to other parties.
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