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• RMA in a nutshell Identifying a need to help care for miners who were injured while on duty, Rand Mutual (RMA) was founded in 1894 by three mining companies on the Witwatersrand as a non-profit mutual assurance company. Today RMA has grown to offer workmens​ compensation benefits to the mining, iron, metal, steel and relate...
THE JOB AT A GLANCE
Reporting to the Team Leader: Clinical Claims Adjudication, the incumbent is responsible for providing support on the effective and efficient adjudication of disease and accident claims in line with COID Act and Non-COID VAPS policies (i.e., updating and reviewing ICD10 codes, pre-authorisation adjudication for out of hospital treatments, case management of all accident claims and claims estimates monitoring and management. The role requires an individual with critical thinking that is able to work independently and triangulate medical information to make claims decision on impairment assessment.
WHAT WILL YOU DO?
Claims processing and adjudication
Attend to queries related to claims under management
Medical report writing
WHAT YOULL BRING TO THE TABLE?