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Consultant: Claims Management

Published on 22.03.2023


Industries :
Call centers, hotlines
Health, pharmacy, hospitals, medical equipment
Job ads : See our Job Ads
Health Risk Management Botswana (HRMB) exists to offer a comprehensive range of fully outsourced quality solutions, including managed healthcare,... read more

Job Ad & Profile Description

Position : Consultant: Claims Management

We are looking for  Consultant: Claims  Management  to join our client team


  • Reconcile member or provider claims received.
  • Ensure accurate and timeous processing of medical claims received from Members and Service Providers.
  • Attention to detail and maintain a quality level required as per business. 
  • Ensure consistent and excellent application of set standards and Scheme rules.
Required profile for job ad : Consultant: Claims Management


  • Have a Diploma in Business Administration or related field
  • Have a minimum of 1 years’ experience in a similar environment.
  • Minimum 1 year medical aid experience
  • Have sound knowledge of the medical aid industry, regulations, RPL, ISO and other related legislation.
  • Be able to identify system risks and/or process and suggest solutions
  • Be a strong team player with good communication, administration skills including record keeping and the ability to work under pressure.
  • Be Computer literate (MS Office and Medical Administration system).
Job criteria for job ad : Consultant: Claims Management
Job category :
Health and social professions
Industries :
Health, pharmacy, hospitals, medical equipment
Employment type :
Permanent contract
Region :
Experience level :
2 to 5 years
Educational level :
Spoken language :
Number of Position(s) : 10
Be cautious! Do not send money to a potential employer. Do not pay any money for a potential contract of employment or for pre-employment training.
Please report any irregularities by using the candidate contact form and selecting the subject "Report a job ad".

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