Medical Scheme jobs
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- Aon CorporationJohannesburg, Gauteng 2196
- The ability to analyse data from medical schemes and competently and objectively present the findings to clients.
- A good knowledge of policy wordings.
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- University of the Free StateBloemfontein, Free State
- (Subject to specific conditions): pension scheme, medical aid scheme, group life insurance, housing allowance, leave and sick leave, service bonus and study…
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- Momentum HealthSandton, Gauteng
- Knowledge of the relevant scheme or product rules.
- Experience in the assessing of relevant insurance or medical aid claims, paper and/or EDI (Desirable).
- View all Momentum Health jobs - Sandton jobs - Claims Assessor jobs in Sandton, Gauteng
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View similar jobs with this employerDiscovery Ltd.Johannesburg, Gauteng 2196- Assist members with benefit navigation, referrals and activations to optimize benefits available to them under their scheme and non-scheme products.
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- Discovery Ltd.Secunda, Mpumalanga 2302
- Provide support with all queries including but not limited to Claims investigations, benefit limits, new business, chronic medication and general queries such…
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- University of the Free StateBloemfontein, Free State
- (Subject to specific conditions): pension scheme, medical aid scheme, group life insurance, housing allowance, leave and sick leave, service bonus and study…
- Momentum HealthSandton, Gauteng
- At least 5 years work experience in the healthcare funding / medical scheme industry.
- Role Purpose Build, maintain and manage relationships with network…
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- Momentum HealthSandton, Gauteng
- 3-5 years' experience in a managed healthcare, medical scheme, healthcare funding, or medical aid administration environment.
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- Discovery Ltd.Milnerton, Western Cape 7446
- Confirming Inhouse scheme benefits according to set protocols and funding rules.
- Accurately obtaining and capturing information to confirm correct Inhouse…
- Bestmed Medical SchemePretoria, Gauteng
- Permanent employees also have access to medical aid.
- Minimum 2 years’ experience gained in the medical funding industry.
- Momentum HealthDurban, KwaZulu-Natal
- Sound understanding of medical aid claims administration processes.
- Knowledge of regulatory and compliance requirements applicable to medical schemes.
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- CirrusfinKwaZulu-Natal
- Provide factual information or advice pertaining to medical scheme as well as relevant legislation and individual scheme protocols.
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View similar jobs with this employerMelomed Private Hospitals SAWestern Cape- Resolve patient and medical aid scheme queries.
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- Hospital or Medical Aid scheme case management would be an…
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- VitalitySandhurst, Gauteng
- Apply strong medical knowledge when reviewing conditions and diagnoses to support accurate and appropriate claims assessment.
- Full time, 37.5 hours per week.
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- VitalitySandhurst, Gauteng
- Apply strong medical knowledge when reviewing conditions and diagnoses to support accurate and appropriate claims assessment.
- Full time, 37.5 hours per week.
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- University of the Free StateBloemfontein, Free State
- (Subject to specific conditions): pension scheme, medical aid scheme, group life insurance, housing allowance, leave and sick leave, service bonus and study…
Job Post Details
Healthcare Consultant
Job details
Pay information not provided
Full-time
Johannesburg, Gauteng 2196
Full job description
Posting Description:
Healthcare Consultant
Do you have experience working in the BPO industry? Ready for the next step in your career? Read on!
The role of the healthcare consultant is to manage and service and retain a portfolio of clients by applying company policies and procedures to deliver varied technical and professional activities.
The healthcare consultant is the primary point of contact for clients, hence fulfilling a critical role in the life cycle of the client.
Aon is in the business of better decisions
At Aon, we shape decisions for the better to protect and enrich the lives of people around the world.
As an organization, we are united through trust as one inclusive team, and we are passionate about helping our colleagues and clients succeed.
What the day will look like
Being the primary point of contact for clients.
Responsible for client retention and growth of portfolio of clients.
Ensuring that all service level agreements and appointment letters are signed and current and in place.
Developing healthcare related educational programs, conducting healthcare related training and conducting induction training.
Ensuring that all administrative and regulatory matters relating to each client portfolio is up-to-date and in order.
Being responsible for relevant reports and information and data to all internal and external collaborators, including executive reports.
Dealing with all queries, ex gratia applications, disputes and information required by the client.
Ensuring compliance with all regulatory requirements.
Responsible for benefit and cost comparisons as required and is able to review and make recommendations on subsidy modelling.
Staying abreast of industry and legislative changes and is able to discuss implications for employers and employees.
Assisting more junior colleagues were applicable.
Engaging in business development and/or contributing directly or indirectly to all business development efforts in Aon South Africa.
How this opportunity is different
What makes Aon different are the people and the culture. Aon colleagues support each other, across geographies and solution lines. Aon has the tools plus depth and breadth of experience to drive great outcomes for our clients, while providing the optimal environment for the career and personal growth of our colleagues.
Skills and experience that will lead to success
Qualifications.
- A recognised matric qualification.
- An NQF 5 or equivalent qualification in healthcare/healthcare administration.
- A relevant bachelor’s degree would be advantageous.
- Registration as a representative with the FSCA in terms of the FAIS act and CMS.
- Accreditation on 8 medical schemes, 3 Gap cover schemes and 3 occupational health products is required.
Knowledge.
- A well-developed knowledge of principles and practices within a technical/professional field.
- The ability to analyse data from medical schemes and competently and objectively present the findings to clients.
- The ability to assist senior colleagues in respect of the wellness strategy of clients.
- A good knowledge of policy wordings.
Skills and Attributes.
- Well-developed analytical skills, i.e. problem-solving, potential problem analysis, decision analysis.
- Well-developed ability to work in and contribute to teams constructively.
- Well-developed spoken and written communication skills.
- Well-developed influencing and persuading skills.
- Well-developed interpersonal skills.
- Digital literacy in Excel and Word.
Experience.
- Proven experience in the BPO industry or a similar/related role
- Extensive healthcare experience.
- A consistent record of achievement as a consultant.
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