Medical Insurance jobs
- Momentum HealthDurban, KwaZulu-Natal
- Knowledge of the legislative impact on the insurance industry.
- Through our client-facing brandsMomentum Group, with Multiply(wellness and rewardsprogramme), and…
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- MVM HealthHome Based
- We are hiring a Medical Operations Executive to oversee scheduling, insurance eligibility, and coordination with our clinical team across multiple U.S. medical…
- Momentum HealthSandton, Gauteng
- Experience in the assessing of relevant insurance or medical aid claims, paper and/or EDI (Desirable).
- Keep abreast of relevant regulatory frameworks, insurance…
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- Momentum HealthDurban, KwaZulu-Natal
- Sound understanding of medical aid claims administration processes.
- Knowledge of regulatory and compliance requirements applicable to medical schemes.
- View all Momentum Health jobs - Durban jobs - Coach jobs in Durban, KwaZulu-Natal
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- NBC HoldingsJohannesburg, Gauteng
- Courses in insurance (CISR or CEBS).
- NBC Holdings is a leading force in the South African employee benefits arena, providing a comprehensive range of employee…
- Inizio MedicalHome Based
- Communicate with callers in an empathetic and professional manner while explaining medical terminology in a clear and understandable way, where appropriate.
- ASI Financial ServicesGauteng, Gauteng 1820
- Minimum 1–3 years’ experience in medical scheme, insurance, financial services, or healthcare marketing.
- In-depth understanding of medical scheme benefits, PMBs…
- ASI Financial ServicesGauteng, Gauteng 1820
- Minimum 1–3 years’ experience in medical scheme, insurance, financial services, or healthcare marketing.
- In-depth understanding of medical scheme benefits, PMBs…
- Sigma Connected GroupCape Town, Western Cape 7800
- What being part of the Sigma Family means for you:
- As our business continues to thrive and expand, we are searching for exceptional individuals to become part…
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- Swiss ReJohannesburg, Gauteng
- Swiss Re is one of the world’s leading providers of reinsurance, insurance and other forms of insurance-based risk transfer, working to make the world more…
- Momentum HealthCenturion, Gauteng
- Relevant medical qualification(nursing, physiotherapy, orequivalent).
- Assist the underwriting team by providing clinical input on medical information provided…
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- TransPerfectCape Town, Western Cape
- TransPerfect Is More Than Just a Job….
- Our greatest asset is our people, and nothing is more important to us than ensuring that everyone knows that.
- Sonata OneCape Town, Western Cape
- Sonata One is a rapidly scaling, regulated fund services and technology (fintech) business.
- We're The Private Funds Clearinghouse, connecting more than 53,000…
- PayJoyJohannesburg, Gauteng
- Company-funded employee life and disability insurance.
- PayJoy’s credit also allows our customers to seize opportunities as micro-entrepreneurs, and acts as…
- Momentum HealthDurban, KwaZulu-Natal
- A strong understanding of the medical aid and short term insurance industry will be advantageous.
- Through our client-facing brands Momentum Group, with Multiply…
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- Sterling StaffingSouth Africa
- Please note: General insurance or underwriting experience alone is not sufficient.
- Review medical records, treatment information, case documentation and other…
Quality Assuror x4
Job details
Full job description
Through our client-facing brandsMomentum Group, with Multiply(wellness and rewardsprogramme), and our other specialist brands, including Guardrisk and Eris Property Group,the group enables business and people from all walks of life to achieve their financial goals and life aspirations. We help people grow their savings, protect what matters to them and invest for the future. We help companies and organisations care for and reward their employees and members.
Perform quality control and assurance of data on business systems, to ensure standards are met and to maintain and monitor the quality assurance processrform quality control and assurance of data on business systems, to ensure standards are met and to maintain and monitor the quality assurance process.
- Matric is essential
- Relevant degree or tertial qualification
- 2-3 years’ relevant experience (essential)
- Insurance Industry Experience.
- Experience in client services or quality assurance.
- Relevant product, process, system and legislation training is essential.
- MHA Business knowledge
- Knowledge of relevant products, processes, systems and applicable legislation.
- Knowledge of relevant legislation that is applicable to the business area
- Knowledge of the legislative impact on the insurance industry.
- Oracle Knowledge.
- Medical Aid - Specifically Momentum Health.
INTERNAL PROCESS
- Provide independent assurance on the adequacy and effectiveness of the control environment for operational processes and procedures.
- Assess the quality of data captured on business systems against quality standards to ensure correctness of data.
- Identify, report on and monitor process and system improvements required.
- Identify any possible gaps, risks or training requirements for internal processes and procedures and engage with the relevant stakeholders to compile action plans.
- Collate information regarding quality assurance and adherence to standard operating procedures to obtain a holistic view of the operational environment.
- Report on areas of opportunity and risk within the team(s) and make recommendations to close identified gaps.
- In conjunction with the line manager provide the team with constructive feedback with regards to quality assurance assessments.
- Provide feedback and coaching to team members to achieve desired quality levels
- Implement quality assurance processes, standards and requirements to ensure quality of the operational environment is monitored and maintained.
CLIENT
- Provide authoritative, expertise and advice to internal stakeholders.
- Build and maintain relationships with internal and external stakeholders.
- Deliver on service level agreements made with internal and external stakeholders in order to ensure that expectations are managed.
- Make recommendations to improve client service and fair treatment of clients within area of responsibility.
- Participate and contribute to a culture which builds rewarding relationships, facilitates feedback and provides exceptional client service.
PEOPLE
- Develop and maintain productive and collaborative working relationships with peers, clients and stakeholders
- Positively influence and participate in change initiatives.
- Take ownership for driving career developmentontribute to continuous innovation through the development, sharing and implementation of new ideas.
- Take ownership for driving career development.
- Effectively manage time and ensure optimal productivity.
- Ensure technical product and legislative knowledge is always current in order to propose the most relevant and innovative client solutions and comply with governance requirements.
- Be self-confident, self-motivated and relentlessly pursue targets and goals.
FINANCE
- Identify solutions to enhance cost effectiveness and increase operational efficiency.
- Manage financial and other company resources under your control with due respect.
- Provide input into the risk identification processes and communicate recommendations in the appropriate forum.
- Examining Information
- Providing Insights
- Following Procedures
- Documenting Facts
- Telephonically etiquette
- Interpreting data