Prepaid job ad packages
| Job | Normal cost | Discount | Cost | Saving |
|---|---|---|---|---|
| 4 | R2,000 | 27% | R1,460 | R540 |
| 6 | R3,000 | 29% | R2,130 | R870 |
| 8 | R4,000 | 31% | R2,760 | R1,240 |
| 12 | R6,000 | 35% | R3,900 | R2,100 |

Recruitment news

Claims Administrator
| Location: | South Africa |
| Company: | Ambledown |
Qualifications:
- Clinical Diploma/Degree
- SANC Registered
- FAIS Compliant
Skills and Experience:
- A minimum of 2 years’ gap cover claims experience
- Technical knowledge on various health insurance products
- Advanced knowledge of ICD Codes, medical procedures and medical aid schemes
- Sound understanding of the Prescribed Minimum Benefits (PMB) legislation in conjunction with gap cover
- Strong computer skills, including Microsoft Office and intermediate to advanced Excel skills
- Excellent customer service, communication, and interpersonal skills
- Advanced Business English (written and verbal)
- Strong attention to detail and accuracy
- Analytical and problem-solving skills with the ability to interpret clinical information
- Ability to take ownership and responsibility for actions and outcomes
- Ability to handle pressure while remaining calm, professional, courteous, and solution-oriented
- Experience in dealing with escalated and/or complex claims queries is an advantage
- Ability to work independently and as part of a team.
Reporting to:
Claims Supervisor
Scope of Responsibility:
- Assess claims in accordance with policy rules, benefits, and conditions
- Conduct clinical review and validation of pre-existing conditions and casualty claims
- Attend to escalated and complex clinical queries
- Respond to broker and policyholder queries in a timely and professional manner
- Ensure compliance with internal policies, procedures, and regulatory requirements
- Maintain accurate records and documentation of claims assessments and outcomes.
- Contribute to process improvement initiatives within the claims department.
- Any other duties as assigned by the company from time to time.
Changes:
The company reserves the right to change this job description at its sole discretion from time to time.
Posted on 30 Mar 16:12, Closing date 6 May
Or apply with your Biz CV
Disclaimer: This is not a medical scheme, and the cover is not the same as that of a medical scheme. This policy is not a substitute for medical scheme membership.
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