Medical Claims Negotiator

We are seeking a skilled and detail-oriented individual to fill the position of Medical Claims Negotiator at HR Studio.The successful candidate will be responsible for negotiating with out-of-network providers to ensure cost-effective service delivery, accurately performing data entry, and documenting related to the repricing of medical claims.Key...

We’re looking for… A Provider Contracting and Negotiating Specialist who will be responsible for working on behalf of the client to negotiate their out of network claims when applicable. You will work directly with out of network providers to work out a single case agreement/fee or direct contract for submitted medical claims. Who are you? - You can...

We are seeking an experienced Medical Claims Specialist to join our team at HR Studio Ltd. The ideal candidate will possess excellent analytical skills and have a strong understanding of medical terminology.The Medical Claims Specialist role involves processing medical claims efficiently and accurately, ensuring timely adjudication and resolution of pending...

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...

We're seeking a skilled Medical Claims Examiner to join our team at HR Studio. As a Claims Analyst, you will be responsible for providing timely and accurate processing and adjudication of claims.About the RoleYou will be part of a dynamic team responsible for reviewing assigned claims or requests from a queue, maintaining a set inventory level. Your key...

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...

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.

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...

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...

**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.

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...

**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...

**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...