Claims Administrator

• Assess the validity of the claim and documentation

• Invalid claims will be rejected/ Repudiated

• Assure capturing of claims are done accurately

• Assure all criteria is met to pay claim

• Assure the quality of feedback (written and verbal) to clients

• Assure feedback on requirements for successful claims payment is done timeously

• Asses claims for possible fraud risks

• Conduct Quality Audits on peers

• Investigate and resolve internal and external complaints

• Conduct on-the-job training for new staff

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