Ultramed Health Care – CLAIMS ASSESSOR (WITH A MEDICAL AID BACKGROUND) 223 views

Job Description

JOB DESCRIPTION

Applications are invited from suitably qualified and experienced individuals to fill in the position which has risen within Ultra-Med Health Medical Aid Society.

Duties and Responsibilities

DUTIES AND RESPONSIBILITIES

Provide quality service to clients by promptly and effectively assessing and processing claims and approval according to operations set standards.

Manages routine daily claims administration work.
Managing the process of a claim’s assessment.
Providing empathetic customer service to clients and stakeholders.
Conducting investigations and interviews to assess the claim, Reviewing documentation including medical records.
Calculating and processing claim related payments.
Preparing recommendations to reduce risk.

Qualifications and Experience

QUALIFICATIONS AND EXPERIENCE

A degree in Risk Management and Insurance.
Knowledge of excel.
Minimum of 3 years experience in a similar position. Nursing background is an added advantage.
Good oral and written communication skills Deadline oriented.
Proficient in managing business correspondence.