Key Purpose
Verify and capture faxed, scanned or emailed claims within a required time frame and at a required quality level.
Key Output
The successful applicant will be responsible for but not limited to the following job functions:
Verify and capture faxed, scanned or emailed claims within a required period and at a required quality level.
Daily assessing of paper or image claims
Collection, completion and returning of batches within stipulated times
Achieving of daily target on Verify Processes
Personal Attributes and Skills
The successful candidate would need to have the following competencies:
Delivering results and meeting customer expectations
Analysing and following instructions and procedures
Planning and organizing skills
Coping with pressure and setbacks
Adapting and responding swiftly to change
Adhering to principles and values
Working with people
Computer literacy skills
Excellent written communication skils
Numerical skills
Education and Experience
The following requirements are Essential:
Matric
Basic MS Office knowledge and experience
The following requirements are advantageous:
Knowledge of relevant legislation, regulations, agreements, acts and policies
Knowledge of claims assessing in the medical aid industry
Knowledge of Discovery systems