Medical Claims Quality Expert

We are looking for a Medical Claims Quality Manager to oversee the implementation of quality methodologies and improvement initiatives across our organization.The successful candidate will have a proven track record of facilitating quality delivery and ensuring adherence to quality standards.Responsibilities include:Monitoring quality adherence and...

We are looking for a Claims Processing Expert to facilitate quality delivery and ensure adherence to quality standards in our medical claims processing department.The successful candidate will have experience in medical claims processing, quality assurance, or risk assessment, with a strong understanding of medical insurance policies, claims procedures, and...

Quality Assurance RoleWe are looking for a skilled Claims Quality Professional to join our team. In this role, you will be responsible for ensuring the quality of medical claims processing and implementing identified quality methodologies and improvement initiatives.Key Responsibilities:Facilitating quality delivery and ensuring adherence to quality...

Job title : Medical Claims Administrator X2Job Location : Gauteng, JohannesburgDeadline : March 28, 2025Quick Recommended LinksJobs by Location Job by industries The minimum requirements of the position are a degree or diploma in Nursing, Physiotherapy, Occupational Therapy and Radiography or any equivalent medical qualification as well as active...

FEM's Mission: At FEM, we are dedicated to providing exceptional service and support to our clients. We strive to deliver outstanding results in the field of occupational injuries and diseases, and we believe that our team members are instrumental in achieving this goal.The Role:Evaluate and process medical claims in a timely and accurate manner.Collaborate...

Job title : Claims Assessor (ADMED)Job Location : Gauteng, JohannesburgDeadline : April 05, 2025Quick Recommended LinksJobs by Location Job by industries RequirementsMatric /Grade 12 Basic medical qualification an advantage (e.g. nursing or similar qualification)  Computer Literacy (MS Word, Outlook and Excel) FAIS Fit and Proper including RE5 At least 2...

Job DescriptionWe are seeking a highly skilled Quality Assurance Specialist to join our team. In this role, you will be responsible for ensuring the quality of medical claims processing across various business segments.Key Responsibilities:Facilitate quality delivery and ensure adherence to quality standardsImplement identified quality methodologies and...

At Rmbwestport, we are seeking a Quality Assurance Specialist to facilitate quality delivery and ensure adherence to quality standards across various business segments.The ideal candidate will have experience in medical claims processing, quality assurance, or risk assessment, with a strong understanding of medical insurance policies, claims procedures, and...

Job DetailsWe are seeking a highly motivated Healthcare Quality Manager to join our team. In this role, you will be responsible for managing the quality of medical claims processing and ensuring adherence to quality standards.Key Responsibilities:Facilitating quality delivery and ensuring adherence to quality standardsImplementing identified quality...

Quality Assurer (Medical Claims)Quality Assurer (Medical Claims)Apply locations Johannesburg time type Full time posted on Posted 2 Days Ago time left to apply End Date: March 22, 2025 (1 day left to apply) job requisition id R29383Job DescriptionTo facilitate quality delivery and ensure adherence to quality standards across various business segments.To...

Santam Insurance Job Opportunity**Job Title:** Claims Service Specialist: Non-Motor Claims ExpertWe are seeking an experienced Claims Service Specialist to join our team in Johannesburg, South Africa. As a key member of our Once & Done department, you will be responsible for assessing merits and quantum of non-motor damage claims through digital...

Were looking for Are you an experienced Medical Billing & Collections Administrator looking for a role where your attention to detail and organizational skills make a real impact? Join our clients healthcare team and play a vital role in ensuring the smooth processing of patient claims and payments. If you have a strong background in medical funder...

Job DescriptionWe are seeking a Senior Claims Investigation Manager to join our team at Headhunters. As a key member of our organization, you will be responsible for overseeing the claims investigation process and ensuring that our clients receive the highest level of service.About the RoleThe successful candidate will have a strong background in claims...

Quality Assurer (Medical Claims)Job DescriptionTo facilitate quality delivery and ensure adherence to quality standards across various business segments.To ensure implementation of identified quality methodologies and improvement initiatives.Facilitate quality delivery across the various teams.Monitor quality adherence and compliance to quality...

Our client is seeking a hands-on high-level Senior Claims Manager that will be based in Johannesburg, South Africa, responsible for the professional handling of a broad portfolio of general property, engineering, mining, casualty / financial lines claims, underwritten in both retail and international wholesale markets. The position reports into the Head of...

Job title : Risk Claims AssessorJob Location : Gauteng, JohannesburgDeadline : March 18, 2025Quick Recommended LinksJobs by Location Job by industries Job DescriptionTo apply loss control processes within the organisation, including the follow up of special investigations and monitoring recovery Hello Future Risk Claims Assessor, Welcome to FNB, the home...

Job RequirementsTo be considered for this role, you will need to have a strong background in claims management, with a minimum of 5-10 years' experience in a similar or related role. You will also need to have previous people management experience and be registered as a representative with the FSCA in terms of the FAIS Act.About the RoleThe successful...

Role DescriptionThe Junior Claims Broker role at WTW involves working closely with clients and stakeholders to manage and process insurance claims.Key responsibilities include:Handling claims from start to finish.Liaising with insurers, loss adjusters, and legal teams to ensure effective claim resolution.Reviewing policy wordings and coverage to assess claim...

About the Job: FEM is looking for a highly skilled Medical Claims Administrator to join our team in Johannesburg. This is an exciting opportunity for a motivated individual to contribute to the success of our organization and make a meaningful difference in the lives of our clients.Key Responsibilities:Evaluate and process medical claims in a timely and...

About the Role: FEM is seeking a Medical Claims Administrator to join our team in Johannesburg. The primary objective of this position is to ensure that all registered claims are assessed and administered efficiently and effectively in accordance with the Compensation for Occupational Injuries and Diseases Act.Responsibilities:Evaluate and process medical...