Consultant: IOD Recoveries

Recruiter:

Liyema Consulting

Job Ref:

JHB002291/Laka

Date posted:

Wednesday, July 16, 2025

Location:

Pretoria, South Africa

SUMMARY:
Job Title: Consultant – Injury on Duty Recoveries
Location: Pretoria
Type: Onsite
Reporting to: Manager: Recoveries
Department: Operations

Role Purpose:

We’re seeking a Consultant to implement and support the Injury on Duty (IOD) recovery strategy, focusing on efficient facilitation of medical expense reimbursements. This role involves IOD case identification, data analytics, stakeholder liaison, claims tracking, and reporting to drive successful third-party recoveries.

POSITION INFO:

Key Responsibilities:

Analyse IOD claims to verify medical expenses and identify potential recoveries
Submit and monitor IOD claims with SAPS and relevant administrators
Prepare detailed reports on claims trends, recovery tracking, and issue escalation
Ensure all information is verified, completed, and submitted accurately and on time
Maintain relationships with SAPS, members, providers, and administrators

Requirements:

NQF Level 7 Nursing Qualification
SANC Registration
4+ years of experience in:
- Medical Third Party Claims
- Administration Services
- Case Management in medical schemes
Experience in ICD10/CPT coding
Proven ability to manage third-party processes and resolve escalations

Skills & Competencies:

Claims and recoveries management
SAPS liaison and provider engagement
Report writing, auditing, and case analysis
Strong ethics, compliance, and governance focus
Collaboration, communication, and accountability

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