Mid-Level Claims Specialist
Open to offersNew to PlatformLizelle F. is a seasoned professional with substantial experience in the healthcare and insurance industry as a Claims Specialist at Medscheme PTY LTD from 2001 to 2026. Her expertise lies in handling and resolving complex claim issues, including PMB, and conducting detailed audits and compliance checks. With a background as a Risk Analyst, she has excelled in collecting and analyzing data to identify critical patterns and audit findings. Key skills that define her professional scope include proficiency in the Oracle system, effective use of Microsoft 365, and adept handling of various report mechanisms. As a Query Assessor, she was responsible for resolving customer care queries, providing staff training, and managing escalations and foreign claims. Her dedication to precision and compliance has consistently contributed to the operational excellence of the organization.
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