Junior Clinical Claims Adjudicator

SUMMARY:
Seeking a Junior Clinical Claims Adjudicator - 6 Month Contract. The incumbent will be responsible for effectively and efficiently processing pre-authorizations claims for COVID 19 incidents under the Compensation for Occupational Injuries and Diseases Act (COIDA).

POSITION INFO:

Seeking a Junior Clinical Claims Adjudicator - 6 Month Contract.
The incumbent will be responsible for effectively and efficiently processing pre-authorizations claims for COVID 19 incidents under the Compensation for Occupational Injuries and Diseases Act (COIDA).

Qualifications and Experience Required

NQF Level 6: Diploma in Nursing/Allied Health/related field with additional certification

Valid registration with professional body

At-least 2-3 years Case Management/ Life Insurance/Medical Aid claims environment experience

2 - 3 years claims and contact centre related experience

Additional insurance related qualifications or training (advantageous)

Medical Knowledge at NQF6 level

Knowledge of administrative and clerical procedures

Computer literate - MS Office

Knowledge of Customer Service principles and practices

Valid Driver''s License and own transport

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