Clerk claims assessor

Position Purpose

To ensure that all paper medical aid claims are accurately captured into the i Med. system

Experience

3 years Proven experience in assessing Gap claims, Medical aid knowledge and understanding

Qualifications

Matric, RE5 and Short-Term Insurance Credit, Candidates must meet all the fit and proper requirements (FAIS)

Compliance and Risk Management Defined legal, statutory and regulatory compliance is maintained at the required standards Operational risk and governance structures, measures and frameworks are complied with and necessary action is taken to address issues, when necessary Financial Management Contribute to cost savings within the department to assist with financial goals and targets Operating Model

Responsible for accurately processing and reconciling claims in line with defined procedures and Service Level Agreements, ensuring compliance with rules and policies. The role involves correcting errors, facilitating proper payments, ...