Claims Assessor

4 days ago


Nelspruit, South Africa Mediplus SA Full time

The objective of the claim’s assessor position is to help achieve,

by means of effective actions and assistance to Manager, Service

Providers and Members, Mediplus’ objectives in respect of effective

productivity and client services.

Primary Duties
- Processing claims (reflect changes in benefits/limit available)
- Data capturing
- General administrative duties
- Attend to Service provider queries (written/verbal), correspondence with external as well as internal stakeholders.
- Maintain high level of quality and risk control
- Ensure that targets and timelines are met daily
- To stay updated on system changes and product enhancements/ alterations
- To aim for zero mistake factor
- Daily, weekly and monthly reporting to management

Job Requirement
- Matric mathematics
- Computer literate
- Intermediate MS Office skills (Word, Excel & Outlook)
- Any experience in the medical aid or insurance industry is an advantage
- Data capturing experience
- Must perform independently
- Must possess effective organising and coordinating skills
- Treat sensitive information as confidential
- Attentive to detail

**What We Offer**:

- A collaborative work environment.
- Opportunities for professional growth.
- Competitive compensation and benefits.

Take the next step in your career and become a vital part of Mediplus SA's mission to deliver exceptional service to our members

**Join Mediplus SA and make a meaningful difference in healthcare**

**Job Type**: Permanent

Pay: R7 700,00 per month

Application Question(s):

- Did you do Mathematics in Matric?

**Education**:

- High School (matric) (required)

**Experience**:

- Data Capturing: 1 year (preferred)

**Language**:

- English (preferred)

Application Deadline: 2025/01/31