Medical Claims Examiner

Job Title: Medical Claims AdjudicatorAbout the Role:We are seeking a skilled Medical Claims Adjudicator to join our team at HR Studio Ltd. The successful candidate will be responsible for the timely and accurate processing and adjudication of medical claims.Key Responsibilities:- Review assigned claims or requests from a queue and maintain a set inventory...

Job DescriptionAs a Medical Claims Specialist at HR Studio Ltd, you will play a crucial role in ensuring timely and accurate processing and adjudication of claims. The ideal candidate will have a strong eye for detail, excellent communication skills, and the ability to work effectively in a fast-paced production environment.About the RoleWe are seeking a...

Company Overview:\Helpers Studio Ltd is a leading provider of innovative solutions in the field of medical claims processing. Our company prides itself on its commitment to excellence and customer satisfaction. \Salary:\$60,000 - 80,000 per year, depending on experience \Job Description:\\\\The ideal candidate will be responsible for the timely and...

We are seeking a skilled Medical Claims Processing Specialist to join our team at HR Studio Ltd. This is an exciting opportunity for an experienced claims professional to take their career to the next level.Job Summary:The ideal candidate will have a strong background in medical claims processing, including knowledge of medical terminology and experience...

Senior Medical Assessor RoleThe successful candidate will be responsible for managing claims in accordance with policy terms and conditions. They will be accountable for claims processes and procedures, and will work with stakeholders to develop return to work plans as needed. The ideal candidate will have a strong understanding of claims management and will...

Gauteng, Sandton - Annually Cost To Company (Market related, Negotiable) The claims controller will collate records and examine information to assist in determining claim settlements, within the governed framework to ensure compliance with the short term insurance regulations. OR to determine the validity of the claims from agent companies, assess the...

About the RoleWe're seeking a highly skilled and experienced Senior Medical Claims Specialist to join our team at HR Studio. This is a challenging opportunity for an individual with excellent negotiation and communication skills to work closely with out-of-network providers to secure cost-effective service delivery.

Job Title: Claims AdministratorWe are seeking a skilled and detail-oriented Claims Administrator to join our team at HR Studio Ltd. As a key member of our claims processing team, you will be responsible for ensuring the timely and accurate processing of medical claims.**Job Description:**The successful candidate will have a strong understanding of medical...

**Introduction** Processing of medical expense shortfall (gap cover) claims in accordance with stipulated service levels and in terms and conditions of cover as defined in policy wording. **Role Purpose** Processing of medical expense shortfall (gap cover) claims in accordance with stipulated service levels and in terms and conditions of cover as defined...

We are seeking a highly skilled Medical Claims Negotiator to join our team at HR Studio Ltd. As a key member of our healthcare industry team, you will play a crucial role in negotiating medical claims on behalf of our clients.The ideal candidate will have excellent communication and negotiation skills, with the ability to work effectively with out-of-network...

**EXEPERIENCE IN THE FINANCIAL SERVICES INDUSTRY/LIFE INSURANCE ESSENTIAL** - Responsible to drive the formulation and implementation of the risk model and underwriting philosophy, analyse claims and other data when assessing claims. - Providing feedback on all claims, liaising with relevant stakeholders, and utilise their skills, knowledge, and experience...

We're looking for… A Claims Analyst that will provide timely and accurate processing and adjudication of claims.  You will be doing research, and processing claims or related requests for covered members or providers across various products including medical, pharmacy, vision and related healthcare options.  Who are you? ...

Job OverviewWe are seeking an experienced Medical Claims Specialist to join our team at HR Studio Ltd.This is a unique opportunity to work in a dynamic environment where you will be responsible for processing and adjudicating medical claims efficiently and accurately.

**Business Unit**:Discovery Employee Benefits**Function**:Claims Administration**Date**:4 Oct 2024 - Achieve more than** **YOU BELIEVE** - Discovery Corporate & Employee Benefits- Claims and Underwriting Administrator**About Discovery** - Discovery’s core purpose is to make people healthier and to enhance and protect their lives. We seek out and invest in...

We are seeking a Claims Expertise Specialist to join HR Studio Ltd. The successful candidate will be responsible for timely and accurate processing and adjudication of claims.The role involves researching and processing claims or related requests for covered members or providers across various products including medical, pharmacy, vision and related...

**About HR Genie**We are a leading company in the insurance industry, and we are seeking a skilled Claims Settlement Specialist to join our team.**Salary:** $65,000 - $85,000 per annum**Job Description:**Key Responsibilities:Claims Handling:Maintain high standards of claims settlement and provide excellent customer service.Register and manage claims for...

**Purpose of the Role**: **Key Responsibilities**: **Full Management of the of the Authorisations Teams (Health and Pet)**: - Define the claims strategy that can be cascaded down for successful implementation across the claims function. - Structure the Claims department to enable high-level claims analysis to be carried out and successfully interpreted by...

**Business Unit**:Discovery Employee Benefits**Function**:Clinical**Date**:11 Oct 2024 - Achieve more than** **YOU BELIEVE** - Discovery Corporate & Employee Benefits- Disability Claims Assessor**About Discovery** - Discovery’s core purpose is to make people healthier and to enhance and protect their lives. We seek out and invest in exceptional individuals...

**EXPERIENCE IN THE FINANCIAL SERVICES/LIFE INSURANCE INDUSTRY ESSENTIAL** Responsible to drive the formulation and implementation of the risk model and underwriting philosophy, analyse claims and other data when assessing claims. Providing feedback on all claims, liaising with relevant stakeholders, and utilise their skills, knowledge and experience to...

**Business Unit**:Vitality Life**Function**:Claims Administration**Date**:11 Oct 2024Discovery - VitalityLife - Claims Assessor - Specialist - About Discovery VitalityLife - Discovery’s core purpose is to make people healthier and to enhance and protect their lives. We seek out and invest in exceptional individuals who understand and support our core...