Quality Assurance Specialist
3 days ago
Role Description:
This role involves quality assessing all claims processed by the Admed claims team that is automatically allocated to your workflow in the OWLS system.
You will be responsible for:
- Validating personal information, clinical information, documents attached, and decision made on the claim
- Investigating all claims flagged by the OWLS system as possible pre-existing conditions within 2 working days
Requirements:
- Matric / Grade 12 qualification
- Basic medical qualification an advantage
- MS Office computer skills
- At least 3 years medical aid or gap cover claims processing and assessing experience
- At least 2 years insurance experience
Benefits:
- Dynamic work environment
- Opportunities for career growth
Seniority level
Mid-Senior level
Employment typeFull-time
Job functionQuality Assurance
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