COID Medical Claims Validator – Claims & Compliance Pro

Medical Resources Group (Pty) Ltd; Pretoria; On-site; ZAR 50 000 - 200 000; Full time

Job summary

A leading claims administrator in Pretoria East is seeking a Medical Claims Validator to join their team. The ideal candidate should possess at least 2 years of medical claims experience and a Matric/Grade 12 qualification. Key responsibilities include assessing COID claims, resolving client inquiries, and ensuring compliance with procedures. This position provides a competitive compensation package based on experience and requires excellent communication and multitasking skills.

Qualifications

• Minimum 2 years medical claims related experience is essential.
• Experience in client and funder communication is essential.

Responsibilities

• Assess COID claim information.
• Provide medical advice on claims to clients.
• Assist with client support and operational queries.
• Follow up on outstanding information required for processing.

Skills

Computer literacy in MS Office

Strong communication skills

Proactive problem-solving attitude

Multitasking ability

Education

Matric / Grade 12

Tertiary qualification

Tools

CompEasy / Medical claims online systems

Job description

A leading claims administrator in Pretoria East is seeking a Medical Claims Validator to join their team. The ideal candidate should possess at least 2 years of medical claims experience and a Matric/Grade 12 qualification. Key responsibilities include assessing COID claims, resolving client inquiries, and ensuring compliance with procedures. This position provides a competitive compensation package based on experience and requires excellent communication and multitasking skills.