Medical Claim Resolution Expert

7 days ago


Durban, KwaZulu-Natal, South Africa Discovery Limited Full time

Job Description

The Medical Claim Resolution Expert plays a vital role in managing the risk of in-hospital admissions by leveraging clinical knowledge and integrating it with scheme benefits to ensure accurate information regarding funding.

Main Responsibilities:

  • To confirm benefits according to set protocols and funding rules.
  • To manage the risk of in-hospital admissions by using clinical knowledge and integrating this with scheme benefits.
  • To achieve and exceed key performance metrics relating to service delivery.

Working with Us:

  • We offer a competitive salary and benefits package.
  • We provide opportunities for professional growth and development.
  • We foster a collaborative and dynamic work environment.


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