Claims Verifier - FTC

Imagine a world where people live healthier, more enhanced and protected lives… A world in which each organisation is a powerful influencer and responsible corporate citizen, committed to being a force for social good. As a leading innovator in healthcare, wellness, insurance, investments, financial and life planning, Discovery works ceaselessly to make this vision a reality. Fuelled by our passion for enhancing lives and our desire to innovate, Discovery consistently sets global standards, creating shared value through shared intellectual capital. A testament to this is our Vitality programme, which is both a platform to incentivise people to live healthier lives as well as a channel through which shared value is delivered. We are a proudly South African-born, global company with health, life and short term insurance operations in South Africa and the United Kingdom, and a presence in Germany, France, the United States, Canada, Australia, Singapore, Hong Kong, Philippines, Thailand, Malaysia, China and Japan through our Global Vitality Network. One way in which we uphold our promise of shared value is by being a positive disruptor that focusses on bringing about sustainable change in the lives of the people and communities we serve across the globe. Our values of leadership, honesty, innovation and fairness act as our compass, directing our business practices to take advantage of every opportunity while looking for ways to dazzle clients. 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