Jobs: junior clinical claims adjudicator

  • Clinical Research Associate II

    Found in: beBee S ZA - 2 weeks ago


    Free State, Bloemfontein, South Africa Syneos Health Clinical Solutions Full time

    Syneos Health Clinical Solutions’s job vacancy, Career and Recruitment Job title : Clinical Research Associate II jobs in Free State Job Location : Free State, Bloemfontein Deadline : April 04, 2024 Quick Recommended LinksJobs by Location Job by industries Job responsibilities Performs site qualification, site initiation, interim monitoring, site...

  • Medical Claims Clinical Auditor

    Found in: Adzuna ZA B C2 - 2 days ago


    Portelizabeth, South Africa Adzuna ZA B C2 Full time

    Role PurposeThe purpose of this temporary role is to ensure hospital claims are audited timeously and accurately with the focus on reducing wastage and abuse, as well as to ensure that claims are processed according to authorizations for a period of 6 months only.RequirementsA National Senior Certificate is essential.It is essential to have a Nursing Diploma...

  • Medical Claims Clinical Auditor

    Found in: Talent ZA 2A C2 - 1 week ago


    Gqeberha, South Africa Headhunters Full time

    Role PurposeThe purpose of this temporary role is to ensure hospital claims are audited timeously and accurately with the focus on reducing wastage and abuse, as well as to ensure that claims are processed according to authorizations for a period of 6 months only.RequirementsA National Senior Certificate is essential.It is essential to have a Nursing Diploma...

  • Clinical Claims Auditor

    Found in: Talent ZA C2 - 1 week ago


    Cape Town, South Africa Mednurse Full time

    A vacancy exists in our clients Clinical division. The position offered will suit a self-motivated and?driven person who will be assisting in the auditing of risk claims, in and out of hospital.Your duties will include but not be limited to the following:Auditing of accounts, applying industry rules and guidelines as set out in the relevant Tariff and...


  • Centurion, South Africa PPS Recruitment Full time

    **Job Advert Summary**: Applications are invited for the above-mentioned position, to be filled as soon as possible. **Minimum Requirements**: - Nursing qualification. - Clinical Auditing experience - Minimum of 2 years' experience in the managed care environment **Duties and Responsibilities**: - Conduct clinical audits on claims and costs to ensure...

  • Claims Processor

    6 days ago


    Durban, South Africa South African Government Department of Labour Full time

    Centre: Durban REQUIREMENTS: Grade 12 / Senior Certificate. Three-year tertiary qualification in Public Management/ Administration / Social Science / OHS / Finance / HRM will be added advantage**.** **Experience: None. Knowledge: Public Service Act, Public Service Regulation, Compensation Fund business strategies and goals, Compensation Fund value chain,...


  • Nelspruit, South Africa Dante Personnel Full time

    Mpumalanga, Nelspruit / Mbombela - R6 000 CTC Our client in the Automotive industry is looking for an ambitious Junior Claims Administrator to join their team in Nelspruit **Minimum requirements**: - Matric - Experience with data capturing will be beneficial - Call centre experience would be advantageous - Fluent in English and Afrikaans - Own reliable...


  • Durban, South Africa South African Government Department of Labour Full time

    Centre Requirements: Grade 12 certificate and three years (3) tertiary qualification degree/ diploma in Public Management/ Administration/ Social Science/ OHS/ Finance/ HRM is required. 1-2 years' experience on compensation and medical claims processing. Knowledge: Compensation Fund Policies, Procedures and Processes, Relevant Stakeholders, Human Anatomy/...


  • Johannesburg, South Africa LetsLink Recruitment Full time

    LetsLink recruitment is currently seeking a highly motivated and experienced Claims Administrator to work in Johannesburg. - Qualifications: - Matric (Grade 12) or equivalent. - FAIS (Financial Advisory and Intermediary Services) compliant. - RE 5 (Representative Exam) certification. - Customer Service Certificate (advantageous). - Clinical qualification as...


  • Houghton Estate, South Africa 3Sixty Health (Pty) Ltd Full time

    3Sixty Health has a great opportunity for a suitably qualified individual to fulfil the advertised position and join their team. **3SIXTY HEALTH **3Sixty Health is a black owned and managed, reputable and a major player in driving South African economy by investing in ‘’black excellence’’3Sixty Health is 100% black owned and black managed...


  • Centurion, South Africa Health Solutions Full time

    **Introduction** Momentum Health Solutions, an entity of Momentum Metropolitan Holdings delivers sustainable, integrated health solutions that meet the needs of clients in the different segments and maximise lifetime client value. We build and maintain a culture of innovation, and create value through unique insights of how to achieve specific outcomes by...


  • Johannesburg, South Africa Clinical Full time

    This is a sales consultant position with a well-established dental Group. **Salary**: R7,500.00 - R9,500.00 per month Ability to commute/relocate: - Johannesburg, Gauteng: Reliably commute or planning to relocate before starting work (required) **Education**: - High School (matric) (required) **Experience**: - sales: 2 years...

  • Claims Processor

    3 days ago


    Cape Town, South Africa South African Government Department of Labour Full time

    Centre: Cape Town (Western Cape) -Ref No HR4/4/10/514 (1X Post) Labour Centre: George (Western Cape) - Ref No: HR4/4/10/515 (1X Post) Labour Centre: Bellville (Western Cape) - Ref No: HR4/4/10/516 (1X Post) Requirements: Three years (3) tertiary qualification degree/ diploma in Public Management/ Administration/ Social Science/ OHS/ Finance/ HRM is...

  • Claims Intern

    3 days ago


    Cape Town, South Africa Swiss RE Full time

    **About the role**: We are looking for a learner in the Life & Health Claims Department in Cape Town. Do you have first-rate organisational skills, attention to detail, a proactive approach and good analytical thinking? Then we are looking for you Your job will include amongst others: - General internal administration i.e., process and governance. -...


  • Cape Town, South Africa City of Cape Town Full time

    ELIGIBILITY All suitably qualified CLOSING DATE 28.07.2023 REFERENCE NUMBER HS 33/23Ext SALARY **TCOE**: R1 174 257 p.a DEPARTMENT City Health DIRECTORATE COMMUNITY SERVICES and HEALTH Clinical Medical Officer **Requirements**: - MBChB degree - Registration with the Health Professions Council of South Africa - At least two (2) years experience...


  • Midrand, South Africa MSD Full time

    Under the oversight of the line-manager, this role is responsible for comprehensive trial and site administration and involves preparing, collating, distributing and archiving clinical documents. The Clinical Trial Coordinator supports clinical supply and non-clinical supply management and ensures timely maintenance of tracking and reporting tools, as...


  • Glenvista, South Africa Rand Water Full time

    **Job Advert Summary**: Rand Water is looking for a Medical Scheme Claims Assessors to manage daily operational requirements of the Rand Water Medical Scheme for claims assessing (auditing) and monitoring requirements for clinical IT administration system enhancements; align with Scheme rules and clinical protocols. **Minimum Requirements**: - Grade 12 - B...


  • Cape Town, South Africa TREAD Research (PTY) LTD Full time

    Clinical Trial Regulatory Manager with at least 2 years of experience. Prepares and/or reviews regulatory documents to support clinical trial submissions. Independently provides regulatory support for complex projects and programs. RESPONSIBILITIES - Acts as a Clinical Trial Regulatory Manager (CTRM) on complex clinical trial projects or programs and may...


  • Cape Town, South Africa MHR Full time

    **Job Advert Summary**: MHR is currently recruiting for a **Clinical Risk Management Administrator **position at a dynamic insurance company, specialising in professional medical indemnity cover. This is a Permanent full-time or part-time position (min 5-6 hours/day). You will be required to work remote & in-office,** Cape Town** - Clinical...


  • Durban, South Africa RJPersonnel Full time

    3years - Supervising and supporting Junior Admin Clerks - To do accurate costing of job cards and submissions of claims - Monitoring all claims as to prevent rejections - Resubmission and recovering of all rejected claims to minimize loss to the company - Checking of job cards before costing to minimize audit risk - Weekly payment recons - To ensure accurate...