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  • Posted: Jan 13, 2026
    Deadline: Not specified
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  • The Netcare Group operates the largest private hospital group, primary care network and medical emergency service in South Africa. Netcare is also the biggest private trainer of emergency personnel and healthcare workers. At Netcare, our inspiration to excel in providing medical innovation and quality care is to be found in our values. We continue to focus o...
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    Claims Assessor Intern

     OPERATIONAL EXCELLENCE

    Claim Assessment

    • Assessing of all claims for all disciplines and products
    • Identify systems / processes enhancement and implementation
    • Management of the Service Level Agreements with brokers, Sales and Operations
    • Vendor documentation manage and administer
    • Assist in telephone queries
    • Give feedback to vendors on queries
    • Use system for updates
    • Interact with NOH team to assist with issues and data input
    • Keep claims administrator updated with escalations
    • Requires excellent communication skills – verbal and written
    • Reports trends or issues to Business Centre Team leader
    • Ensure excellent knowledge of all NetcarePlus products and services                                                            

    GROWING WITH PASSIONATE PEOPLE

    Teamwork

    • Actively participate as a member of a team to achieve goals.

    Personal and professional development

    • Keep up to date with Netcare’s evolving policies and procedures.
    • Active involvement in own professional development to maintain a satisfactory level of skill and knowledge.
    • Ensure professional conduct at all times.

    Build and Maintain stakeholder relationships

    • Work effectively and co-operatively with others to establish and maintain good working relationships that are mutually beneficial.
    • Create and maintain a positive environment where the differences of others are recognized, understood, and valued, so that all can reach their full potential and maximize their contributions.
    • Develop collaborative relationships to help accomplish work goal.

    EDUCATION

    Essential

    • Relevant Finance qualification.

    WORK EXPERIENCE

    Essential

    • Minimum of 3 years successful claims assessing experience within the Health Care Industry.

    KNOWLEDGE

    Essential

    • Claim assessing knowledge.
    • Conversant with ICD 10 and CPT coding.
    • Conversant with Modifiers and NHRPL.
    • Conversant with Scheme Benefits.
    • Accuracy, and Strong numerical ability.

    Check how your CV aligns with this job

    Method of Application

    Interested and qualified? Go to Netcare on netcare.wd103.myworkdayjobs.com to apply

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