Job Description
This role is individually accountable for providing immediate response to administrative requirements in accordance with SLA parameters, in a processing environment. Technical kn
Key Roles and Responsibilities
Assess potential high-value fraudulent claims by evaluating documents and information collected against common indicators of frauds
Negotiate with retail custome
Description
Examine bills and claims from using the agreed Tariff to ensure authenticity.
Ensure bills are vetted before sending them to HMOs
Ensure diagnosis matches with treatment
JOB DESCRIPTION
Reviewing insurance claims for accuracy, including reviewing medical records for documentation of services rendered and items supplied.
Conducting onsite audits of hospitals, c
Job Objective
Undertake the handling and processing of all claims, and ensure these are dealt with efficiently, within laid down timescales, and resolved in the best interests of the clien
The Company is seeking to hire a Claims Officer, who will be responsible for managing and implementing claims programs for all lines of general business products. S/he will manage a claim from the beg
Job Description
Receives and registers claims
Input vetted claims and prepares them for approval
Forward approved Claims to Team Lead for review and final approval
Receives and registers e
The Claims Specialist is responsible for reviewing, analysing, and processing claims that may occur during the execution of a contract. Your contributions will play a vital role in optimizing our reve
Job Description
This role is individually accountable for providing immediate response to administrative requirements in accordance with SLA parameters, in a processing environment. Technical kn
Role Description
The Product manager for the Claims Operations team will focus on building and maintaining the products used by both internal teams and our third-party healthcare providers to carry
Job Objective
Undertake the handling and processing of all claims, and to ensure these are dealt with efficiently, within laid down timescales, and resolved in the best interests of the cl
Job Description
As the Audit, Investigation, and Claims Resolution Officer, you will be crucial in conducting audits, investigations, and resolving claims related to personnel outsourcing servic
Job Duties:
Undertake in the adjustment of all major, complex or important claims .
Review the reports of Adjusters, Engineers, etc. and make appropriate recommendations regarding the claims.
Key Responsibilities
Conduct investigations to assess the damage, estimate costs and market value, review reports and other documents, and determine settlement amounts
Develop a growth strateg
Description
This role is responsible for supervising and managing the manual claims and tariff processing team to ensure the claims submitted by our providers are processed and paid promptly and ef
Functional Role:
Adhering to mission statement (see PG1101), to code of conduct (PG1102), to IMS system and further company specific documents
Awareness of Company’s Quality Policy
Summary
The successful candidate will be part of a diverse, learning, competitive, and professional organization, which offers real opportunities for personal development and in-depth insights i
