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Claims Administrator
Med Core Billing Monday, 26 January 2026 2
On-site
Job Summary
The Claims Administrator is responsible for the accurate processing, review, and management of medical claims in compliance with company policies, medical aid rules, and regulatory standards. The role ensures clear and timely communication between clients, healthcare providers, and internal teams while maintaining accuracy, professionalism, confidentiality, and an ethical, efficient work environment. The Claims Administrator also identifies operational inefficiencies, recommends process improvements, and supports continuous improvement initiatives to enhance claims accuracy, turnaround time, and overall service quality. Claims Coding and Billing Accuracy of coding, compliance with billing rules, and adherence to turnaround times. Payment Allocations, Journal Entries, and Credit Notes Accurate allocations, correct application of journal entries/credit notes, and timely record updates. Age Analyses Completion Timely submission, quality debtor follow-up, correct status updates, and accurate records. Telephone Etiquette & Customer Service Professional communication, effective query resolution, positive client feedback. Outlook Management Timely responses and maintenance of an organised inbox. Key Competencies and Job Requirements Education & Experience Matric (Grade 12) or equivalent qualification required. Minimum 2 years of relevant experience. Other Requirements Own reliable transport. Valid driver’s license. Working Conditions Office-based environment.Error!
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