Claims Manager

Claims Manager
Location: Durban
Salary: Market Related
Equity Status: EE
Ref:LB/CM
 
Large Managed Care Organisation requires a suitably qualified Registered Nurse to perform the duties of a Claims Manager.
 
Purpose of the Role:
To oversee and take accountability for key Claims functions and as a result ensure to efficiently and effectively provide leading administrative services. Further to this, ensure standardization, consistency and optimization of processes across claims administration.
 
Key Responsibilities:
  • Effective and efficient communication to all clients.
  • Ensure that the departmental successes are in line with the companies strategy and organisational plans.
  • Facilitate effective and efficient business systems and processes in a growing environment.
  • Ensure all claims processes are at the desired levels of quality to mitigate risks and meeting SLA's.
  • People management and development.
  • Budget reporting and adhoc reporting.   
Requirements:
  •  Matric
  •  Degree required ideally in the areas of Business Administration or clinical in nature
  • A post-graduate degree or MBA will be advantageous
  • Min. of 5 years Management experience
 Please email your CV to response@mvgrecruitment.co.za or fax 086 575 0166 or call 0860 100 684.