Medical Claims Validator – COID Claims & Client Support

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

Job summary

A leading claims administrator in Pretoria East seeks a Medical Claims Validator with at least 2 years of medical claims-related experience. Responsibilities include assessing claims, managing client communications, and supporting operational queries. The ideal candidate should have Matric/Grade 12 and strong skills in communication and problem-solving. A tertiary qualification is beneficial. Competitive market-related remuneration offered.

Qualifications

• Minimum 2 years Medical claims related experience.
• Experience in Client and Funder Communication essential.

Responsibilities

• Assess COID claim information.
• Provide medical advice and/or direction on claims to clients.
• Resolve enquiries from clients related to the COID Act.
• Assist with training of newly appointed staff.

Skills

Medical claims related experience

Communication skills

Computer literate in MS Office

Problem-solving attitude

Ability to multitask

Education

Matric / Grade 12

Tertiary qualification

Tools

CompEasy

Microsoft Excel

Microsoft Word

Microsoft Outlook

Job description

A leading claims administrator in Pretoria East seeks a Medical Claims Validator with at least 2 years of medical claims-related experience. Responsibilities include assessing claims, managing client communications, and supporting operational queries. The ideal candidate should have Matric/Grade 12 and strong skills in communication and problem-solving. A tertiary qualification is beneficial. Competitive market-related remuneration offered.