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Pretoria East: Claims Administrator posted by Med Core Billing

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Job Description

About the Role

The Claims Administrator plays a critical role in ensuring the accurate processing, review, and management of medical claims. This is achieved by maintaining compliance with company policies, medical aid rules, and regulatory standards while providing clear and timely communication between clients, healthcare providers, and internal teams.

Key Responsibilities

  • Process medical claims accurately and efficiently
  • Review and manage client correspondence and queries in a professional manner
  • Identify operational inefficiencies and recommend process improvements to enhance claims accuracy and turnaround time
  • Support continuous improvement initiatives to improve overall service quality

Requirements

  • Matric (Grade 12) or equivalent qualification required
  • Minimum 2 years of relevant experience in a similar role
  • Strong analytical and problem-solving skills
  • Ability to work in a fast-paced environment with attention to detail

Qualifications

  • Completed Matric (Grade 12)

Salary & Benefits

The salary for this position is based on the original posting, but it has been omitted due to its sensitive nature.

How to Apply

Click the green “Go Apply” button below to apply directly online with the employer.

About Other Professions Jobs in Gauteng

Gauteng, the economic hub of South Africa, is home to a diverse range of industries, offering various Other Professions positions for job seekers. Typically, this field encompasses roles such as administrative assistants, human resources specialists, and operations coordinators, among others.

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Generally, salaries in the Gauteng region for Other Professions positions tend to fall within broad ranges. For example, an administrative assistant position may command a salary between R300 000 and R500 000 per annum, depending on experience, company size, and industry sector. However, it is essential to note that actual salaries can vary significantly due to factors such as the specific job requirements, the company’s budget, and the individual’s qualifications.

Common skills required for these roles include proficiency in Microsoft Office applications, excellent communication and interpersonal skills, attention to detail, organisational abilities, and analytical thinking. Typically, candidates with a degree in business administration, human resources, or a related field may be well-suited for these positions.

The financial services sector, technology industry, and manufacturing sector are common industries that employ Other Professions roles. These sectors often require professionals who can provide administrative support, coordinate operations, and manage day-to-day activities. The manufacturing sector, in particular, requires skilled coordinators to oversee production processes, manage inventory, and ensure compliance with quality control standards.

Career development opportunities for individuals in this field are generally good, with many companies investing in employee training and development programs. Typically, career progression paths involve moving into senior administrative roles or transitioning into related fields such as human resources management or business administration. With experience and continuous learning, professionals in this field can expect to move into more senior positions or take on leadership roles within their organisations.


This information provides general career guidance. Actual salaries and requirements vary by employer.



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