Gap Claims Assessor

3 weeks ago

Cape Town, South Africa Measured Ability Group Holdings Full time

Our client is seeking an experienced Gap Claims Assessor.

**Requirements**:

- Applicants must have a thorough understanding of medical aid operations or insurance policy administration and operations.
- Matric.

**Responsibilities**:
To check and validate all GAP claim documents received and to request any outstanding documents.

To follow the claims process and capture the claim information into the system.

To verify and update any client personal information changes on the system policy record

To assess the validity of the claim following the terms and conditions of the clients' policy document and to make the relevant claim notes on the system.

To meet your daily minimum claim targets with a high level of accuracy and within service turnaround time.

To maintain and update your daily workflow tasks and queue.

To ensure high priority and escalated claims as identified by management are processed within 2 hours.

Interacting with medical aids, hospitals and medical practitioners regarding medical history and accounts required relevant to assessing the claim.

Other administration-related functions.

**Salary**:
R16 000 -R19 000

**Disclaimer**:
**Michelle

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