Claims Team Lead – Medical Schemes & Compliance

Momentum; Gqeberha; On-site; ZAR 200 000 - 300 000; Full time

Job summary

A leading health service provider in Gqeberha is seeking a Claims Administration Manager to oversee specialised claims processes. This role involves ensuring accuracy in claims processing, compliance with regulations, and leading a team focused on client service. The ideal candidate will have experience in medical scheme administration and a passion for improving processes. The successful candidate will be pivotal in delivering efficient service to clients while managing a team to reach performance targets.

Qualifications

• 3 - 5 years working experience in medical scheme claims or administration.
• Minimum of two years’ experience leading a team.
• Extensive knowledge of medical scheme administration.

Responsibilities

• Oversee processing of specialised claims.
• Supervise benefit changes and claim processing testing.
• Resolve escalated queries related to claims.

Skills

Team leadership

Claims processing

Client service orientation

Education

National Senior / Matric Certificate

Degree/Diploma in Business/Office Administration

Job description

A leading health service provider in Gqeberha is seeking a Claims Administration Manager to oversee specialised claims processes. This role involves ensuring accuracy in claims processing, compliance with regulations, and leading a team focused on client service. The ideal candidate will have experience in medical scheme administration and a passion for improving processes. The successful candidate will be pivotal in delivering efficient service to clients while managing a team to reach performance targets.