Healthcare Claims Administrator

**KwaZulu Natal**, Durban** **Monthly Basic Salary (Medical Aid, Pension and Provident, Group Life, 13th Cheque, Performance Bonus, Income Protection, Market related, Negotiable)** **Our dynamic and ambitious family owned and run export client with head office based in Durban, is looking for an energetic and hardworking Claims Administrator. They are well...

A leading FMCG exporter is currently looking for a seasoned and enthusiastic Claims Administrator to join their accounting team. **DUTIES & RESPONSIBILITIES, NOT LIMITED TO**: - Processing suppliers claims on short delivery or pricing queries. This includes tracking to ensure the credit is passed. - Completion of General ledger claims reconciliation and...

Environmental Insurance Company is looking to recruit a detail-focused, deadline-driven and organised Claims Payment Administrator. The Claim Payment Administrator would be responsible for the administrative processing of claims payments and the associated activities that need to be attended to prior to an amount being approved for payment. **Main...

Our client in the Financial Services Sector, based in Durban Central, is seeking the services of an experienced Claims Administrator. **Minimum Requirements**: - Matric - FAIS compliance (Proven FIAS compliance to meet the domestic short term insurance Fit and Proper requirement) - At least 5 years’ experience within the claims environment relating to...

**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...

Durban, South Africa Junior Mid 3 to 5 years Market Related Contract Skills Insurance Claims Administrative Industries Insurance Description Our client in the Umhlanga area is recruiting for a Claims Administrator for a maternity cover contract. This role would suit an individual who is fluent in the following: Sotho, Tswana and Afrikaans. **Education /...

Overview (Area): Durban (Salary): Market Related (Ref: AG) Our client requires a suitably experienced and qualified Claims Administrator with Matric, FAIS compliance (Proven FIAS compliance to meet the domestic short term insurance Fit and Proper requirement RE 5) and at least 5 years’ experience within the claims environment relating to all aspects of...

As a Medical Claims Administrator, you will be required to deliver an efficient , consistent and accurate administrative medical debt service to clients. You will also provide the Doctors with monitoring and bureau reports that will allow them to have real time data on the financial status of their practice. You will become a trusted business partner...

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...

Overview (Area:) Durban (Salary:) (Ref: AG) Our client requires a suitably experienced and qualified Domestic Short-Term Claims Administrator to join their team. The position requires the ability to proficiently **process claims within binder mandates**, advise and update clients on claims and claims progress, manage escalated claims (administration...

As a Medical Claims Administrator, you will be required to deliver an efficient , consistent and accurate administrative medical debt service to clients. You will also provide the Doctors with monitoring and bureau reports that will allow them to have real time data on the financial status of their practice. You will become a trusted business partner...

Our client in the healthcare insurance space is looking for a Provider Network Consultant in the KZN area. Responsibility: - Develop integrated networks with quality providers yielding a geographically competitive, broadly accessible, stable network that achieves company objectives. - Evaluate practices in analysing member care, and trend quality...

Business Development Consultant required to develop integrated medical service provider networks within the KZN region for a rapidly growing primary healthcare insurance provider. Duties & Responsibilities - Development of integrated medical service provider networks within the KZN region identifying any access gaps - Building relationships with various...

Posting Description: **Healthcare Consultant - Durban** Live in KZN? Extensive Healthcare Consultant experience? We have an opportunity for you! Aon South Africa is recruiting a Healthcare Consultant in our Employee Benefits department, based on a hybrid basis from our offices in Durban. **Aon is in the business of better decisions** At Aon, we shape...

-Introduction Momentum Health Solutions, an entity of Momentum Metropolitan Holdings delivers sustainable, integrated health solutions that meet the needs of clients in the different segments and maximise lifetime client value. We build and maintain a culture of innovation, and create value through unique insights of how to achieve specific outcomes by...

Job OverviewMSP Staffing LTD is seeking a dynamic and experienced Healthcare Leadership Professional to lead our nursing department.Key Responsibilities:Provide strategic direction and management to the nursing team, ensuring high-quality patient care and exceptional outcomes.Oversee day-to-day operations, implementing policies and procedures to drive...

Numsa Financial Services (NFS) is an authorised Financial Services Provider (FSP) accredited by the Financial Sector Conduct Authority (FSCA) and the Council of Medical Schemes (CMS). NFS was established in 2010, with the aim of providing members of the National Union of Metalworkers of South Africa(NUMSA) with affordable financial services products,...

**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...

**Introduction** Full support to the underwriting and claims teams, from processing of claims and underwriting administration including new business, policy issuance, endorsements, cancellations, unpaid debit orders, renewals, outstanding debtors to loading of claims, appointment of surveyors, and drafting agreements of loss. **Role Purpose** Full support...

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. -...