Medical Claims Specialist

Medical Claims Examiner Job DescriptionAbout Our Client:Our client is a leading medical scheme dedicated to providing comprehensive healthcare benefits to its members. They are committed to innovation, quality service, and the well-being of their clients.Key Responsibilities:Assess all claims using the appropriate rules and guidelines.Ensure accurate and...

About Qetello Holdings: We are a leading medical scheme based in South Africa, dedicated to providing comprehensive healthcare benefits to our members. Our client is committed to innovation, quality service, and the well-being of their clients.Job Summary:We are seeking an experienced Medical Claims Examiner to ensure that all claims are assessed accurately...

About the RoleWe are seeking a highly skilled Medical Debt Recovery Specialist to join our team at MedE Recruit. This is an excellent opportunity for a motivated and detail-oriented individual to thrive in a dynamic environment.The successful candidate will be responsible for managing medical aid claims, reconciling debtor and medical aid payments, and...

Job Title: Claims ExaminerAbout the RoleWe are seeking an experienced Claims Examiner to join our team at Rand Mutual Assurance. As a Claims Examiner, you will be responsible for adjudicating and processing claims in an effective and efficient manner within the prescribed guidelines set out by the company.Key ResponsibilitiesClaims Adjudication: Verify...

**Job Overview**Old Mutual Insure is a leading insurance company seeking an experienced Insurance Claims Specialist to join their team in Gauteng.The successful candidate will be responsible for effectively containing Binder Holder claims spend and providing exceptional service in setting a culture of best practice within mandated responsibility.Key...

Company OverviewPeople Dimension is a reputable company that values exceptional customer service and strives to provide the best possible experience for its clients. We are currently seeking a skilled Claims Management Specialist to join our team.About the RoleWe offer a competitive salary of R320,000 per annum, commensurate with experience, to manage...

Job Title : Claims Negotiator: Binder SpecialistOld Mutual is seeking an experienced claims negotiator to join their team in Gauteng.We are looking for a skilled professional with 5 years of experience in group schemes claims, specifically in personal, commercial, and AGRI claims.The ideal candidate will have excellent analytical skills, advanced Excel...

We are seeking a Claims Processing Specialist to join our team at Numeral XII (Pty) Ltd. in Pretoria. This role is responsible for ensuring that client claims are captured correctly within Service Level Agreements (SLA), with a focus on delivering excellent service and meeting client expectations.The ideal candidate will have a strong background in financial...

Job Summary:We are seeking an experienced Claims Manager to join our team at People Dimension. This is a great opportunity for someone who is looking for a challenging role that offers excellent compensation and benefits.About the Role:The successful candidate will be responsible for managing commercial claims, including heavy commercial vehicles claims....

Company Overview:A reputable medical practice in Pretoria, Montana is seeking a skilled and motivated Medical Debtors Clerk to become an essential part of their team.Job Description:The role offers the chance to thrive in a supportive environment that values independence, integrity, and professionalism.The successful candidate will be responsible for...

A reputable medical practice in Montana seeks a skilled Medical Debtors Clerk to become an essential part of their team. This role offers the chance to thrive in a supportive environment that values independence, integrity, and professionalism.The ideal candidate will have a minimum of two years experience in medical debtors and strong computer skills,...

Job DescriptionWe are seeking a highly skilled Medical Doctor to join our team at Beaver Immigration Consulting. The ideal candidate will have extensive experience in their specialty or as a general internal specialist, with a strong background in MBChB and a Masters of Medicine from a recognized South African medical school.The successful candidate will...

Job Title: Claims Adjuster - GautengLocation: GautengEstimated Salary: R700,000 - R1,000,000 per annumAbout the RoleWe are seeking an experienced Claims Adjuster to join our team in Gauteng. As a Claims Adjuster, you will be responsible for validating and adjusting claims, ensuring that they are processed fairly and efficiently.The ideal candidate will have...

About This RoleWe are seeking a highly skilled Medical Sales Liaison Specialist to join our team at Qetello Holdings. As a key member of our sales team, you will be responsible for identifying and building relationships with doctors and medical practices to promote our medical bureau services and COID assistance.

Job DescriptionWe are seeking a skilled and experienced Medical Specialist to fill the role of ER Doctor. This is an exciting opportunity for a medical professional looking to join our dynamic team at Mouldmed Locum International Exchange.

Spesbilling LtdWe are seeking a highly skilled Medical Coding Specialist to join our team in Pretoria.About the RoleThis is a challenging position that requires a strong understanding of medical coding principles and practices. The successful candidate will be responsible for accurately coding medical procedures and diagnoses, ensuring compliance with...

MMS Holdings Inc. is a leading data-focused clinical research organization (CRO). We are seeking an experienced Medical Data Specialist - Oncology to join our team.As a Medical Data Specialist - Oncology, you will be responsible for reviewing and analyzing clinical trial data related to oncology products. This role requires strong knowledge of medical...

Job Title: Medical Pre-Authorisation SpecialistIn collaboration with our esteemed client in Pretoria, Qetello Holdings is recruiting a skilled Medical Pre-Authorisation Specialist. The ideal candidate must possess a completed qualification as an Enrolled Nurse and be registered with SANC, boasting at least 2 years of experience in Managed Healthcare.The...

Job OverviewEarn R700,750 per annum as a Medical Sales Specialist with Emporium Human Capital.We are seeking an experienced professional to join our team in Hatfield. This is an excellent opportunity for those passionate about Dermatology and sales performance.The ideal candidate will have a strong understanding of the therapeutic area and be able to build...

Role OverviewWe are seeking a highly skilled Medical Pre-Authorization Specialist to join our team at Qetello Holdings in Pretoria. This role is an excellent opportunity for a professional nurse looking to advance their career in managed healthcare.