Medical Aid Broker

TWK Agri has the following vacancy available: Broker (Medical-Aid) within the Insurance Department in Pretoria, Gauteng. **Responsibilities and Duties** - Introduction of new business and maintenance of existing business - Assisting clients to find the most appropriate medical aid cover based on an assessment of their needs - Weekly/Monthly reporting -...

Responsible for continuous marketing and relationship buiding.Prepare quotations and change of broker letters for new clients Assist with queries and claims and provide timeous feedback Manage and retain current Medical Aid Funds Provide companies. Degree/Diploma (NQF5 Wealth Certification) Class of business completed CMS Accredited RE 5 At least 2...

Responsible for continuous marketing and relationship buiding. Prepare quotations and change of broker letters for new clients Assist with queries and claims and provide timeous feedback Manage and retain current Medical Aid Funds Provide companies. Degree/Diploma (NQF5 Wealth Certification) Class of business completed CMS Accredited RE 5 At least 2...

Job Summary:JABES CONSULTANTS is seeking a skilled Medical Aid Broker to join our team. The ideal candidate will have a strong background in medical aid sales and administration, with a focus on building and maintaining relationships with clients.Key Responsibilities:Develop and implement effective marketing strategies to attract new clientsPrepare...

Our client, a managed care organisation based in Pretoria is looking for a Call Centre Agent. This is an equal opportunity organisation with various businesses and/ or subsidiaries that service clients in the medical scheme and insurance industries. Position: Medical Call Centre Agent - Adding or removing of dependants - Processing medical scheme membership...

We are seeking a highly skilled Medical Aid Business Development Specialist to join our team at JABES CONSULTANTS.The successful candidate will be responsible for driving business growth and development through continuous marketing and relationship building.Key responsibilities will include preparing quotations and change of broker letters for new clients,...

**Medical Aids Claims Administrator** Our client, a proudly South Africa-owned Audiology hearing healthcare company with a national footprint has a position open for a Medical Aids Claims Administrator in Pretoria East. **Role Description** This is a full-time, office-based position. The individual will be responsible for administrating claims and...

Our client, a proudly South Africa-owned Audiology hearing healthcare company with a national footprint has a position open for a Medical Aids Claims Administrator in Pretoria East. Role Description This is a full-time, office-based position. The individual will be responsible for administrating claims and authorisations from Medical Aids. Qualifications...

Our client, a proudly South Africa-owned Audiology hearing healthcare company with a national footprint has a position open for a Medical Aids Claims Administrator in Pretoria East. **Role Description** This is a full-time, office-based position. The individual will be responsible for administrating claims and authorisations from Medical Aids....

Billing controller must have experience working with medical claims, ICD 10 and procedure codes. Must have GoodX experience. Person must have experience with IOD claims and Compeasy website. **Salary**: From R15,000.00 per month Ability to commute/relocate: - Pretoria, Gauteng: Reliably commute or planning to relocate before starting work...

The purpose of this position is to ensure that all claims are assessed using the appropriate rules and is paid correctly in line with the Scheme's benefit and tariff structures. **Duties**: - Assessing and processing Medical Aid claims - **Quality**:Measuring of individual error rate to ensure no costs incurred due to assessing errors made. -...

A reputable Medical Aid is seeking an experienced DUR Pharmacist to join their team in Pretoria. **Duties**: - Medicine authorisations as per Scheme rules and protocols to ensure cost-effective reimbursement of medicine and medicine cost containment. - Ensure medicine benefit allocations are applied and executed correctly according to Scheme...

A reputable Medical Aid is seeking an experienced Medical Aid Claims Assessor to join their HBM team in Pretoria. (Office based) **Requirements**: - Grade 12 - Staff/Enrolled or Registered Nurse (SANC) - Minimum 5 years’ experience as a Nursing Practitioner - Minimum 1 year experience gained in the medical funding industry - 1 year Medical Aid claims...

A Medical Aid in Pretoria is seeking a Service Provider Practice Consultant to join their Service Providers, Contracting and Research Department. **Duties**: - Proactively manage short paid and overcharged claims. - Increasing referrals to top-ranked Specialists. - Compiling, sharing and regularly updating Q&A documents and arranging Q&A sessions for staff...

A reputable Medical Aid is seeking a Pre-Auth Consultant to join their Call Centre team in Pretoria. A reputable Medical Aid Scheme, based in Pretoria, is seeking a Pre-Authorisation Consultant to join their Hospital Benefit Management team. **Duties**: - Delivering cost-effective managed healthcare services to accomplish member satisfaction. - Assisting...

A reputable Medical Aid is seeking a Junior PMB Clinical Assistant to join their Pharmaceutical Benefit Management Department in Pretoria. Please note, this is an office-based role. **Duties**: - Administration of PMB and CDL treatment plan authorisations. - Managing PMB referrals and the Supervisor escalation inbox. - Daily stats report. - Providing...

reputable Medical Aid is seeking a Junior PMB Consultant to join their team in Pretoria. **Duties**: - Administration of PMB and CDL treatment plan authorisations - Managing PMB referrals and supervising escalation inbox - Daily stats reporting - Supporting the Manager/Team Leader and other Managers in tasks and initiatives beneficial to the teams and to...

A reputable Medical Aid is seeking a Rules & Tariff Master to join their Claims Department. This role will ensure that the tariffs and rules are loaded correctly on the Administration System and to maintain this function with regards to updates and changes. **Duties**: - Providing effective communication to staff and Management on changes in the industry,...

A reputable Medical Aid based in Pretoria is seeking a Case Manager to join their HBM team. **Job purpose**: - Delivering a cost-effective Managed Healthcare service to accomplish member satisfaction. **Qualification / Experience**: - Grade 12 / Matric - B Cur Degree or Diploma in Nursing - SANC Registered - A minimum of 5 years' experience as a Nursing...

A reputable Medical Aid based in Pretoria is seeking a Registered Nurse to join their HBM Case Management team. **Qualifications**: - Grade 12 - B Cur Degree / Diploma in Nursing - SANC Registered **Experience**: - Minimum 5 years experience as a Nursing practitioner - Minimum 1 year experience gained in the Medical Funding industry...