Senior Officer. Non Disclosure

Client Medihelp
Reference # Cicelia Strauss
Published 08/08/2017
Contract Type Permanent
Salary Market Related
Location Pretoria, Gauteng, South Africa
Introduction
Medihelp is looking for a registered nurse with 2 years applicable experience in managed healthcare.
Job Functions Administration,Call Centre,Client Services,Clinical,Nursing
Industries Insurance
Specification
The investigation officer is responsible for all cases where a possibility of non-disclosure of existing health conditions exists, and also whether previous procedures or treatment performed on the member and/or dependant during the preceding 12 months the scheme was declared.
Determine the degree of financial risk for the scheme.
Collection of necessary information, clinical, membership and historically information from the service providers, family and brokers.
Contact relevant service providers and/or member to obtain information regarding the patient’s condition.
Give feedback to interested parties such as brokers during the course of investigation
Requirements
Grade 12
A completed Diploma / Degree as a registered nurse.
Registered at SANC.
Two (2) years applicable experience in Managed Healthcare.
Computer literate in MS Office.
Successful completion of the selection process based on criteria that determine the candidate’s potential with regard to the following competencies:
- Customer focus;
- Business insight;
- People development;
- Building trust and credibility; and
- Teamwork.
Job Closing Date 18/08/2017
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