Service Providers System and Tariff Consultant

**Rules and Tariffs Master** **Company** One of the largest private Medical Aid companies in SA. They have been established for 20 years and are striving to be #1 in SA. **Purpose** The purpose of this position is to ensure that the tariffs and rules are loaded correctly on the administration system and to maintain this function with regards to updates...

A reputable Medical Aid is seeking a Rules & Tariff Master to join their Claims Department. This role will ensure that the tariffs and rules are loaded correctly on the Administration System and to maintain this function with regards to updates and changes. **Duties**: - Providing effective communication to staff and Management on changes in the industry,...

**Job Title**:Service Providers Practice Consultant **Location**: Gauteng **About Our Client**: Our client is a leading medical scheme based in Pretoria, dedicated to providing comprehensive healthcare benefits to its members. They are committed to innovation, quality service, and the well-being of their clients. **Functions**: - Provide personalised...

A reputable Medical Aid is seeking an experienced Consultant to join their Service Providers, Contracting and Research Department. **Job Purpose**: To provide optimal support to the Healthcare Providers on the network, expand the network and to promote the Scheme. **Duties**: - Proactive Management for short paid claims and Overcharged Claims. - Increase...

A Medical Aid in Pretoria is seeking a Service Provider Practice Consultant to join their Service Providers, Contracting and Research Department. **Duties**: - Proactively manage short paid and overcharged claims. - Increasing referrals to top-ranked Specialists. - Compiling, sharing and regularly updating Q&A documents and arranging Q&A sessions for staff...

About the RoleWe are seeking an experienced and skilled Strategic Medical Services Director to join our team at Growthlink Consulting in Pretoria. This is a fantastic opportunity for a medical professional to utilize their expertise in clinical and financial risk management, benefit design, and more.ResponsibilitiesAssist the Chief Healthcare Officer in...

We are seeking a compassionate and dedicated individual to join our team at Vintage Vitality Service as a Caregiver. The successful candidate will provide personalized support and assistance to individuals in need, helping them to live independently and comfortably in their own homes or in our care facilities.Estimated salary: R120,000 - R180,000 per...

**Position Overview**: **Responsibilities**: - Carrier Acquisition: Identify, engage, and onboard new carriers to fortify our network and meet the evolving needs of our clientele. - Relationship Management: Foster enduring partnerships with existing carriers to cultivate loyalty and encourage repeat business. - Negotiation: Skillfully negotiate competitive...

**Duties**: - Proactive Management for short paid claims and overcharged claims - Increase referrals to top-ranked Specialists - Compile, share and regularly update Q&A documents and arrange Q&A sessions for staff from all relevant departments at least quarterly - Specialists Contracting and Research Management - Supporting Management and other Team Leaders...

**Purpose of the Job**: The objective of the role is to consider and assess client complaints against financial services providers in a procedurally fair, informal, economical, and expeditious manner. Applications are sought from dynamic, experienced leaders, with proven experience of the financial sector and track record of effective team management and...

Systems Consultant Temp / Contract role - Immediately available Centurion - Pretoria Our client in the automotive industry requires qualified & experienced Systems Consultant for a contract role in Centurion. To ensure the effective planning, mapping and integration of Group Parts systems and other interfacing systems in alignment with Group Parts Processes...

Job Description:As a Senior Manager of Medical Advisory Services, you will play a critical role in executing clinical and medical advisory services within the Healthcare Management division. You will maintain clinical oversight on all aspects of the Schemes business, ensuring that clinical and medical advisory services are sound and in compliance with the...

Job Title: Electrical Systems TechnicianJob Summary: We are seeking a skilled Electrical Systems Technician to join our team at ICON ELECTRICAL AND CONSULTING. The successful candidate will be responsible for the installation, maintenance, and repair of electrical systems, including security systems, access control systems, and CCTV systems.Key...

Bring your possibility to life! Define your career with us - With over 100 years of rich history and strongly positioned as a local bank with regional and international expertise, a career with our family offers the opportunity to be part of this exciting growth journey, to reset our future and shape our destiny as a proudly African group.Job Summary An...

About the Company- Santam is the market leader in the general insurance industry in South Africa. We are a large, diversified, expanding, and transforming company and whilst based in South Africa, we are rapidly moving into a number of emerging markets, both in Africa and Asia. Our success is rooted in our passion for our clients and everything we do is...

About the Company Santam is the market leader in the general insurance industry in South Africa. We are a large, diversified, expanding, and transforming company and whilst based in South Africa, we are rapidly moving into a number of emerging markets, both in Africa and Asia. Our success is rooted in our passion for our clients and everything we do is...

**Job Details**: **Title: Client Service Consultant** **Location: Pretoria, Gauteng** **Permanent: Yes** **Full time: Yes** **Industry: Insurance** **Salary / CTC: R 18 000** **Reports to: Call Centre Manager** **Roles and responsibilities** - Provide excellent customer service in a professional manner and compliant with quality and performance...

Are you a finance and technology enthusiast seeking an opportunity to drive transformative change? Our organisation is seeking a talented Financial Systems Implementation Consultant to join our dynamic team. As a Financial Systems Implementation Consultant, you will be responsible for analysing our clients' business finance processes, identifying areas for...

Job Description: At ICON ELECTRICAL AND CONSULTING, we are seeking a skilled Electrical Systems Specialist to join our team. As a key member of our security systems team, you will be responsible for the installation, maintenance, and repair of various security systems, including alarm systems, electric fences, CCTV systems, and access control systems.Main...

Job SummaryWe are seeking an experienced Electrical Systems Installation Specialist to join our team at ICON ELECTRICAL AND CONSULTING. The successful candidate will be responsible for installing, maintaining and commissioning various electrical systems including alarm systems, access control systems, CCTV systems, electric fences, and networks.