Product Innovation Claims Assessor
Hillcrest, KwaZulu-Natal, South Africa
Job Description
The Claims Assessor is responsible to ensure accurate application of Business and Benefit Rules when assessing claims.
DUTIES & RESPONSIBILITIES
- Assessing of all claims for all disciplines.
- Identify systems / processes enhancement and implementation.
- Management of the Service Level Agreements with medical schemes.
- Vendor documentation manage and administer.
- Assist in telephone queries.
- Give feedback to vendors on queries.
- Use system for updates.
- Interact with NOH team to assist with issues and data input.
- Keep claims administrator updated with escalations.
- Requires excellent communication skills - verbal and written.
- Actively participate as a member of a team to achieve goals.
- Keep up to date with Aloecrest's evolving policies and procedures.
- Active involvement in own professional development to maintain a satisfactory level of skill and knowledge.
- Ensure professional conduct at all times.
- Work effectively and co-operatively with others to establish and maintain good working relationships that are mutually
- Create and maintain a positive environment where the differences of others are recognized, understood, and valued, so
- Develop collaborative relationships to help accomplish work goal.
- Grade 12 or equivalent to an NQF at level 4 qualification.
- Minimum of 3 years successful claims assessing experience within the Health Care Industry
The Hospital's Employment Equity plan and targets wil be considered as part of the recruitment process
aligned to the Group's Employment Equity strategy. Aloecrest actively supports the recruitment of people
with disabilities.
Interested candidates who meet the above criteria are requested to e-mail a detailed CV to
Should you not receive feedback two weeks after the closing date, kindly consider your application
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Job Detail
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Job IdJD1243913
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IndustryNot mentioned
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Total Positions1
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Job Type:Full Time
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Salary:R18000 - 27500 per month
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Employment StatusPermanent
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Job LocationHillcrest, KwaZulu-Natal, South Africa
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EducationNot mentioned