Medical Claims Validator and Advisor

Job Title: Claims Assessor">We are recruiting a qualified Claims Assessor to work with us at Momentum. In this role, you will be responsible for managing the entire claims lifecycle, from receipt to settlement.Your Main Responsibilities will include:Accurately capturing and processing medical aid claims.Supporting colleagues in the claims department as...

Company Overview:Discovery Limited is a leading provider of insurance solutions. Our team is dedicated to delivering exceptional customer service and ensuring that our clients receive the best possible outcomes.Job Summary:We are seeking an experienced Claims Validation Specialist to join our team. In this role, you will be responsible for investigating and...

About the RoleThe successful candidate will be responsible for assessing life insurance claims to ensure that they meet the necessary criteria.This is an exciting opportunity for someone who is passionate about risk assessment and has strong analytical skills.You will work closely with stakeholders to ensure that all interactions and developments are well...

Job Title: Medical Aid Claims AnalystWe are seeking a skilled Medical Aid Claims Analyst to join our team. In this role, you will be responsible for accurately capturing and processing all incoming medical aid claims within agreed time frames.The ideal candidate will have:Matric qualificationComputer literacyComprehensive knowledge of medical aid assessing...

**About the Role**Momentum, a leading health insurance company, is seeking an experienced Claims Assessor to join our team. As a Claims Assessor, you will play a crucial role in processing medical aid claims accurately and efficiently.Key Responsibilities:Achieve high accuracy rates when capturing and processing incoming medical aid claims within agreed time...

Medical Claims AdministratorReference: PTA002871-CB-2We are looking for a Medical Claims Administrator for a big, amazing and innovative company in the health tech space.Duties & ResponsibilitiesThe purpose of the team that you will become part of is to launch a service-based solution driven by cutting-edge health tech, artificial intelligence, and debt...

Job Overview">Momentum is seeking a skilled Claims Assessor to join our team in processing medical aid claims efficiently and accurately. The ideal candidate will have comprehensive knowledge of medical aid assessing procedures and experience working on the Oracle platform.Duties and ResponsibilitiesCapture and process incoming medical aid claims within...

Reference: PTA002871-CB-2We are looking for a Medical Claims Administrator for a big, amazing and innovative company in the health tech space.Duties & ResponsibilitiesThe purpose of the team that you will become part of is to launch a service-based solution driven by cutting-edge health tech, artificial intelligence, and debt management processes (primarily...

Pillangó Placements is seeking a skilled Medical Claims Administrator to join our team.About the Role:The successful candidate will be responsible for delivering an efficient, consistent, and accurate administrative medical debt service. This includes ensuring all claims are accurate before submission, clearing claim rejections, reconciling remittance...

Job OverviewPillangó Placements is seeking a highly skilled Medical Claims Administrator to join our team. As a key member of our operations, you will play a crucial role in ensuring the smooth and efficient management of medical claims.

FEM is looking to appoint a Medical Claims Administrator in our Durban branch in the Claims Department. The overall objective of the position is to ensure that all registered claims are assessed and administered efficiently and effectively in terms of the Compensation for Occupational Injuries and Diseases Act. The position requires the incumbent to have...

Role: Claims Processing SpecialistWe are seeking a skilled Claims Processing Specialist to join our team. In this role, you will be responsible for processing medical aid claims efficiently and accurately.The ideal candidate will have:Matric qualificationComputer literacyComprehensive knowledge of claims processing proceduresA minimum of 2-3 years'...

Job Description: Healthcare Claims ExaminerWe are looking for a skilled Healthcare Claims Examiner to join our team. As a Healthcare Claims Examiner, you will be responsible for examining medical aid claims to ensure they meet the required standards.The ideal candidate will have:Matric qualificationComputer literacyComprehensive knowledge of healthcare...

Federated Employers Mutual Assurance Company (RF) Proprietary Limited (FEM) is seeking a skilled Medical Claims Administrator to join our team in Durban. As part of the Claims Department, this role will be responsible for ensuring efficient and effective assessment and administration of registered claims under the Compensation for Occupational Injuries and...

About the Role">Momentum is currently seeking a skilled Claims Assessor to join our dynamic team. As a Claims Assessor, you will be responsible for accurately capturing and processing medical aid claims, ensuring compliance with legislative requirements and scheme rules.Your Key Responsibilities will include:Receiving and processing incoming medical aid...

We are recruiting a Junior Medical Device Sales Representative with Orthopaedics experience to join our team in the Durban territory.About the CompanyUltra Pharmaceutical and Medical Placements is a leading medical supplier that requires a highly skilled individual to join our team.The ideal candidate will possess a BSc Degree in Human Movement / Health...

Role PurposeAssess and process medical aid claims as per Claims procedures.RequirementsMatricComputer literate.Comprehensive knowledge of all aspects of medical aid assessing is essential.Working on the Oracle platform is an advantage.A minimum of 2 - 3 years' experience as a claims assessor is an advantage.Industry knowledge (BHF; Tariff Guide; SAMA, ICD10...

Closing Date: 2025/04/11Reference Number: MMH250402-2Job Title: Claims AssessorPosition Type: PermanentRole Family: Client ServicesCluster: Momentum HealthRemote Opportunity: None of the timeLocation - Country: South AfricaLocation - Province: KwaZulu-NatalLocation - Town / City: Durban, CornubiaIntroduction:Through our client-facing brands Momentum Group,...

Bestmed Medical Scheme invites applications for a Regional Consultant position based in Durban. The successful candidate will play a critical role in ensuring excellent service delivery to our members, advisors, providers, and suppliers.Job DescriptionThis role involves coordinating the functions and logistics of the regional office, including purchasing and...

Ultra Pharmaceutical and Medical Placements is seeking a highly motivated Junior Medical Device Sales Representative with Orthopaedics experience to join our team in the Durban territory.Job OverviewThe ideal candidate will have a BSc Degree in Human Movement / Health Sciences, as well as excellent knowledge of human anatomy.A strong background in sales or...