Medical Claims Examiner

We are seeking a skilled Medical Claims Examiner to join our team at HR Studio.The ideal candidate will have a strong background in medical claims processing and be able to analyze claims to identify key elements and processing requirements.The Claims Processing Specialist will be responsible for reviewing assigned claims or requests from a queue,...

**Job Title:** Medical Claims ExaminerAbout the Role:We are seeking a highly skilled Medical Claims Examiner to join our team at HR Studio Ltd. As a Medical Claims Examiner, you will be responsible for the timely and accurate processing and adjudication of medical claims.Key Responsibilities:Review assigned claims or requests from a queue, maintaining a set...

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 Summary: We are seeking a highly skilled Insurance Claims Examiner to join our team at PPS Recruitment.Key Responsibilities:Assess and moderate various types of Short-Term Insurance claims.Audit claims to determine the extent of the insurance company's liability.Negotiate settlements with claimants as necessary.Utilize strong analytical skills to manage...

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 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...

About the Role:We are seeking a highly skilled Claims Analyst to join our team at HR Studio Ltd.The ideal candidate will have extensive experience in medical claims processing, including knowledge of medical terminology and working in a production environment.Key Responsibilities:Review assigned claims or requests from a queue, maintaining a set inventory...

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.

Key Responsibilities:Your role will involve maintaining claims standards and providing quality client service:Register motor / non motor claims for personal and commercial policiesAppoint assessors and confirm cover is sufficientResponsible for handling and settling of claims for allocated clients and ensuring accurate capturing and updating on all data...

**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...

Job Title: Claims HandlerWe are seeking a highly skilled Claims Handler to join our team at HR Genie. As a Claims Handler, you will be responsible for handling and settling insurance claims in a timely and efficient manner.Key Responsibilities:Process and manage claims from start to finish, ensuring accurate capturing and updating of all data...

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? - You know how to communicate...

**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? ...

**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...

**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...