Medical Claims Review Officer

We are recruiting for a Medical Claims Review Officer position. **Key Performance Areas** **Audit & review medical bills.** - Analysis of claimed items/services in correlation with available tariff structures and ICD 10 /CPT 4 codes. - Requesting motivation for unreasonable accounts. - Line by line analysis of claim items/service. Matching those appropriate...

Key Performance AreasAudit & review medical bills.Analysis of claimed items/services in correlation with available tariff structures and ICD 10 /CPT 4 codes.Requesting motivation for unreasonable accounts.Line by line analysis of claim items/service. Matching those appropriate tariffs/ICD/CPT codes.Flagging rejected items/services.Recommendations to...

Key Performance Areas Audit & review medical bills. Analysis of claimed items/services in correlation with available tariff structures and ICD 10 /CPT 4 codes. Requesting motivation for unreasonable accounts. Line by line analysis of claim items/service. Matching those appropriate tariffs/ICD/CPT codes. Flagging rejected items/services. Recommendations to...

**Position Overview** Overview** This is a Permeant role with part time hours Serves as a medical consultant to the South African markets for traditional life underwriting, living benefits and claims. Evaluates medical tests/information, assesses risks, and research medical procedures and information. Provides ongoing education and training for...

Cape Town, Western Cape - Administrative **Claims Assessor (JB4315)** **Claremont, Cape Town, Western Cape** **R16 000 - R19 000 CTC per month based on experience** **Permanent** A leading provider of insurance solutions, dedicated to delivering exceptional service and peace of mind to their clients and strives to exceed expectations by consistently...

**Tertiary Qualification (clinical, statistics, actuarial)** - **Data Science Qualification**: - Leadership Skills - Reporting skills - Medical Schemes Industry/legislation and regulations knowledge. - Experience in a Claims Management environment is essential.

A vacancy exists for a Claims Assessor in our Gap Claims Assessing Department. **Job description & duties**: - To check and validate all GAP claim documents received and to request any outstanding documents - To follow the claims process and capture the claim information onto the system - To verify and update any client personal information changes on the...

A vacancy exists for a Claims Assessor in our Gap Claims Assessing Department. (Claremont Cape Town) **Job description & duties**: - To check and validate all GAP claim documents received and to request any outstanding documents - To follow the claims process and capture the claim information onto the system - To verify and update any client personal...

Salary R19,000.00 Retirement Annuity – Paid by The Company R 1,900.00 Medical aid - paid by The Company R 4,725.00 (employee + 2 kids under 18 years) Annual) Bonus R R19,000.00 Free basement parking Free Breakfast daily (cereal, yoghurt, muesli, rusks, juice) Free lunches are provided by the company every Friday 21 working days leave Job...

JOB SPEC - German & English Claims Handler We are currently looking for German speakers to fulfill the position of Claims Handler Start date: 1 May 2024 The Company is the African Medical Assistance branch, part of a global company providing support for various International European insurance companies and their travelers. Our current staff members in Cape...

We are currently looking for German speakers to fulfill the position of Claims Handler Start date: 1 May 2024 The Company is the African Medical Assistance branch, part of a global company providing support for various International European insurance companies and their travelers. Our current staff members in Cape Town are handling insurance and assistance...

Our client is currently looking for German speakers to fulfill the position of Claims Handlers **Job Description**: - Claims services - Communication & claims processing arrangements for medical insurance claims. - Efficient "start to end" claims handling including data entry and invoice assessment - Provide friendly and outstanding customer service -...

**About Us**: **We are the Cape Town African Medical Assistance branch of a global company, providing support to various international European insurance companies and their travellers. Our staff members in Cape Town handle insurance and assistance claims with high professional standards in an international office environment, working on various...

**Main duties and responsibilities**: Process optimisation and efficiencies: - Assessment and management of long-term Sickness, Permanent Incapacity and Disability claims - Check the technical aspects of the claim - Inclusive of potential non-disclosure, and exclusions - Review all medical information on file, analyze and synopsize information at hand -...

? Key Responsibilities: - Communication and processing arrangements for medical insurance claims - Efficient claims handling, including data entry and invoice assessment - Friendly and outstanding customer service - Thrive in a multi-lingual and multi-cultural environment ? Requirements: - Fluent in German and English - Minimum Matric qualification,...

Our client is an international concern providing claims assistance to European medical insurance companies from their African head office in Cape Town. The company seeks to grow their Cape Town team through the appointment of German native speaking staff members who will assist German policy holders with claims processing. Working hours: Monday - Friday...

Are you fluent in German, Swedish or Italian?An opportunity has become available to assist German, Swedish and Italian customers with their claims as a Claims Handler.Experience is an advantage, but not a must.Applicants as required to be fluent in the mentioned languages as these skills will be tested. Working hours: Monday - Friday (09h00 - 17h00), Office...

**JOB SPEC - **Chinese & English - Claims Handler** **About Us**: **We are an African Medical Assistance branch of a global company, providing support to various international European insurance companies and their travelers. Our Cape Town team handles insurance and assistance claims with high professional standards in an international office environment,...

Salary R19,000.00 Retirement Annuity – Paid by The Company R 1,900.00 Medical aid - paid by The Company R 4,725.00 (employee + 2 kids under 18 years) Annual) Bonus R R19,000.00 Free basement parking Free Breakfast daily (cereal, yoghurt, muesli, rusks, juice) Free lunches are provided by the company every Friday 21 working days leave Job Description:...

Inizio Medical has built a large team of medical writers in South Africa, becoming the leading medical communications company in Africa. We are recruiting for a new intake of medical writers who will start with us in March 2025. Our teams in South Africa work alongside our global teams (based in the US, UK, South Africa and EU) in our three med comms...