Consultant:claims Management

2 weeks ago

Centurion, South Africa PPS Recruitment Full time

**Job Advert Summary**:
**Minimum Requirements**:

- A minimum of Grade 12.
- A minimum of 1 years’ experience in a similar environment.
- Sound knowledge of the medical aid industry, regulations, RPL, ISO and other related legislation.
- Must be able to identify system risks and/or process and suggest solutions
- Good communication, administration skills including record keeping and the ability to work under pressure.
- Must be a strong team player.
- Computer literacy (MS Office and Medical Administration system).

**Duties and Responsibilities**:

- Reconcile member or provider claims received.
- Accurate daily assessing of targets.
- Manage quality error percentage.
- Excellent administrative skills e.g. daily record keeping.
- Escalate requests for corrections to relevant Consultant.

  • Consultant:claims Management

    4 weeks ago

    Centurion, South Africa PPS Recruitment Full time

    **Job Advert Summary**: **Minimum Requirements**: - Grade 12 - Tertiary Qualification **Experience** - Medical Scheme Administration Experience 2 years essential - Assessing experience 2 years plus essential - Extensive understanding of the Administration System essential - Knowledge of Reference Price List essential - In-depth knowledge of Medical Scheme...