Medical Claims Administrator

**Administrator - Medical** **Job brief** We are looking for a Medical administrator to organize our medical facility’s functions. You will support day-to-day operations by performing administrative tasks and ensuring high quality customer service for our patients. As a Medical administrator, you will perform various tasks on a daily basis. So, you...

Leading Corporate company is looking for M**edical Claims Administrators **to join their dynamic team and who will be responsible to deliver an efficient, consistent and accurate administrative medical debt service to their clients. **Responsibilities**: Providing the Doctors with monitoring and bureau reports that will allow him/ her to have real time data...

An exciting opportunity exists for a Bureau Claims Administrator with a Healthcare IT Company in Umhlanga, KZN. - Accurately capturing and submitting claims electronically to Medical Schemes; - Promptly responding to claim rejections and resubmitting corrected claims for payment; - Allocating and reconciling remittance advices; - Following-up on outstanding...

KEY WORK OUTPUT AND ACCOUNTABILITIES - Assessing of all claims for all disciplines. - Identify systems / processes enhancement and implementation. - Management of the Service Level Agreements with medical schemes. - Vendor documentation manage and administer. - Assist in telephone queries. - Give feedback to vendors on queries. - Use system for updates. -...

**KwaZulu Natal**, Durban** **R 15 000 - R 16 000 Monthly Cost To Company** **Healthcare Claims Administrator** A leadership team that values autonomy R15 000 - R16 000 + Benefits Top Healthcare Bureau with a connection to one of the Top Software Development houses in the healthcare sector is looking for an addition to join their growing team. **Role...

**THE JOB AT A GLANCE** **WHAT WILL YOU DO?** **Claims Administration**: - Acknowledgement of claims upfront, distinguish between minor and serious injuries and products - Communicate and articulate the claims process and requirements to the claimants and employers, as pre-defined processes - Refer / channel claims to relevant departments - Gather...

**Job Overview** You will be responsible in undertaking general administration and claims handling duties for the Personal Injury Claims department within a timely manner and in line with company procedures. **Responsibilities**: - Import new claims the system portals, and/or manually upload - Conduct AskCue PI and Cache checks on all appropriate claims -...

Job Purpose A niche underwriter, specializing in environmental impairment for transport and site-based risks seeks a Claims Administrator to focus on the administrative aspect in the claims department. Claims administration is fast-paced and a vital aspect of our business operation. Responsible For - Ensure adherence to organizational policies, practices,...

Medical Receptionist Job Description at TelebestWe are seeking a skilled Medical Receptionist to join our team at Telebest. The ideal candidate will have a strong background in administration and be able to provide exceptional patient care.Key Responsibilities:Manage appointments by answering calls, greeting patients upon arrival, and notifying...

KwaZulu Natal, Durban - R 12 500 - R 13 000 **Musgrave, Durban. **Opportunity exists for competent Claims Administrator with at least 1-5 years experience working in the short-term insurance industry. RE1 / any short-term product training will be ideal. - Responsibilities: - Communicating with the client regarding nature of the claim- - Interpreting and...

**KwaZulu Natal**, Durban** **R 40000 - R 60000 Monthly Cost To Company (Negotiable)** We are looking for a **Medical Bureau Operations Specialist** to join a big, leaading, tech company in the healthcare space. The position is niche and requires someone with Operations, Claims Administration and even some IT skills. The Operations and Retention Manager...

A well established Medical Billing company is seeking an Auditor Medical Billing Specialist is responsible for reviewing, auditing, and monitoring the accuracy and compliance of medical billing activities across all branches. **Key Responsibilities**: - **Audit Billing Patterns**: - Review and identify incorrect billing patterns across the branches. -...

Overview (Area:) Durban (Salary:) Market Related (Ref: AG) Our client seeks to appoint a suitably qualified and well-experienced Commercial and Domestic Claims Administrator with at least 5 years’ experience in all aspects of commercial and domestic claims including marine small craft. Responsibilities include proficiently process claims within binder...

**FLOWPATH HAS A VACANCY FOR A MEDICAL ADMINISTRATOR** **ADVERT REF**: 2024/09/AD **JOB TITLE**: MEDICAL ADMINISTRATOR **JOB GRADE**: **CLOSING DATE**: 2024/10/31 **POSITION AVAILABLE FROM**: Immediately **AREA**: Kwazulu-Natal **DEPARTMENT**: DBN ADMIN **ACTUAL PLACE OF WORK**: DURBAN **POSITION TYPE**: Permanent **Purpose of Position**: - To...

We are looking for a qualified Assessor to join our life claims team. Please see the requirements below: - Detailed knowledge relating to the specialist/technical nature of life claims assessment. - Good understanding of medical conditions and the ability to understand medical terminology and medical reports. - At least 2 - 4 years’ work experience as a...

Job Overview:As a key member of our team, the Service Claims Administrator will play a vital role in ensuring the smooth operation of our warranty and service claims processes. This role is responsible for preparing, reviewing, and submitting warranty claims to manufacturers in accordance with standard operating procedures and OEM requirements.Key...

**Requirements**: - Detailed knowledge relating to the specialist/technical nature of life claims assessment - Good understanding of medical conditions and the ability to understand medical terminology and medical reports - At least 2 - 4 years’ work experience as a Life Assessor is required - Previous work experience in long term insurance services,...

The Administration Controller is responsible for monitoring and maintaining acceptable and accurate administration of the allocated business units. The incumbent will take responsibility for liaising between departments and staff members. KEY WORK OUTPUT AND ACCOUNTABILITIES - Update daily the RIT Reconciliation - E-mail on a monthly basis the RIT report to...

**Qualification** - Matric - Proven FAIS compliance to meet the domestic short term insurance Fit and Proper requirement **Experience** - At least 5 years’ experience in all aspects of insurance **Personal Attributes** - Well groomed - Fluent in spoken and written English, Afrikaans an added advantage - Enthusiastic, passionate, energetic - Good planning...

**Job purpose/mandate** A well-established, Durban North-based entity seeks Administrator. **Specific duties and responsibilities** *Short-Term Insurance Underwriting Administration and Claims Administration. *Must have comprehensive knowledge of Personal Lines and Commercial Lines products. - Administration Role includes: - Broker Assistant - Servicing...