Medical Insurance Claims Manager

Updated: April 08, 2024 05:05 PM GMT

OracleMed Health Investments (Pty) Ltd

Johannesburg

As a Medical Insurance Claims Manager, you will be responsible for overseeing the processing and management of medical insurance claims and customer service within our organisation.

English and Portuguese (fluent spoken and written) required

Responsibilities:

Claims Processing Control:
• Supervise the timely and accurate processing of medical insurance claims.

Case Management
• Oversee the management of individual medical cases .

Customer Experience Management:
• Develop and implement strategies to enhance the overall customer claims experience and satisfaction.

Team Management:
• Lead, mentor, and coach teams of claims processors and team leaders to ensure high performance and productivity..

Policy and Procedure Development:
• Develop and implement efficient and effective claims processing procedures and systems.

Quality Assurance:
• Establish and maintain quality assurance measures to ensure the accuracy and integrity of claims processing.

Communication and Collaboration:
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