Healthcare Claims Administrator

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...

**KwaZulu Natal**, Durban** **R 35000 - R 40000 Monthly Cost To Company** As a Billing Analyst, you will play a crucial role in overseeing the billing process for healthcare services, with a particular emphasis on specialist healthcare providers. Your primary responsibility will be to ensure the precision and efficiency of billing within the 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,...

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...

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...

Well reputable company is looking for a **Medical Claims Administrator t**o join their dynamic team. The purpose of this role is to deliver an efficient, consistent and accurate administrative medical debt service to our clients. You will also provide the Doctors with monitoring and bureau reports that will allow him/ her to have real time data on the...

**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 -...

**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...

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...

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...

**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...

**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...

Posting Description: **Internal Healthcare Consultant - Durban** Do you have experience in Healthcare (medical aid) consulting? Do you live in Durban? Read on! **Aon is in the business of better decisions** At Aon, we shape decisions for the better to protect and enrich the lives of people around the world. As an organization, we are united through trust...

*URGENT OPENING! An experienced Warranty, Repairs and Maintenance Administrator is needed to join a commercial vehicle workshop as a critical member of their team. **Must have a Matric and a minimum of 5 years warranty/costing experience. Preference will be show to candidates who have experience with Evolve. Daily duties include: Receive & checking of...

**Job Purpose** **A. Claims Processing** The following directly centers around your daily obligations: - Authorise claims within the set mandate and resolve all claims within the agreed productivity targets and turnaround times by utilising the claims diary system effectively. - Demonstrate a clear understanding and execution of customer complaints and...

We are seeking a skilled and dedicated Physiotherapist to facilitate the treatment and therapy of patients with physical challenges at Allmed Healthcare Professionals.Responsibilities:Conduct comprehensive assessments of patients'''' physical conditions.Develop and implement targeted treatment plans to address patient needs.Administer complex mobilization...

Job Purpose: Reporting to the Healthcare Manager, the successful applicant will, in a professional way, provide an effective and efficient conduit between the company and the client (employer groups and members) by building employer and member relationships, medical aid reporting, reviews and training at large employer groups, resolving employee queries,...

A vacancy exists for an Admission Clerk, based at Life Entabeni Hospital, reporting to Reception Supervisor. The successful candidate will be responsible for managing admissions and ensuring that the admission process runs smoothly. Critical Outputs - Carrying out admission and receptionist duties for the hospital - Admitting patients onto Impilo -...

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. -...