SUMMARY:
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POSITION INFO:
Claims Validator – Injury on Duty Location: Groenkloof, Pretoria Remuneration: Market-Related (Based on Experience) About the Opportunity Medical Resources Group is recruiting on behalf of our client, a well-established organisation specialising in Injury on Duty (IOD) claims administration and medical accounts management , for an experienced Senior Validator to join their production team. This role is ideally suited to a candidate with strong experience in IOD claims, medical claims validation, or a related healthcare funding environment . The successful candidate will play a key role in assessing claims, validating billing, supporting clients, and ensuring accurate processing within strict deadlines. This is an excellent opportunity for a detail-driven professional who enjoys problem-solving, working with complex claims, and contributing to operational excellence. Key Responsibilities Claims Validation & Processing Assess and validate Injury on Duty claim information Review medical billing per line item in accordance with applicable tariffs and regulations Assess accounts against payment histories and supporting information Ensure accurate claim processing and adherence to deadlines Update internal systems with relevant claim information Client & Operational Support Manage allocated client accounts \/ practices professionally Communicate effectively with clients regarding claims, accounts, and outstanding information Provide guidance on claims processes and account-related queries Follow up on required documentation from clients, employers, and third parties Resolve queries relating to legislation, claims, and treatment submissions Quality & Team Contribution Ensure procedures and production standards are followed Contribute to achieving production and revenue targets Assist with onboarding and training of new team members Support other departments when required Perform ad hoc duties aligned to business objectives Minimum Requirements Matric \/ Grade 12 (Essential) Previous experience in Injury on Duty (IOD) claims or similar claims environment (Essential) Medical claims experience (Essential) Experience in client and funder communication (Essential) Tertiary qualification (Advantageous) Key Skills & Competencies Strong analytical and validation skills Excellent attention to detail and accuracy Computer literate ( MS Word, Excel, Outlook ) Experience with medical claims \/ online funder systems (Advantageous) Strong communication skills (written and verbal) Problem-solving mindset and proactive approach Ability to multitask and meet deadlines Able to work effectively under pressure Candidate Profile The ideal candidate will be: Experienced in claims validation and healthcare administration Detail-oriented and process-driven Professional and client-focused Reliable and accountable A strong team player willing to support others How to Apply Please email your CV and supporting documents to with Subject line: Validator If you do not receive feedback within 2 weeks , please consider your application unsuccessful.
