Claims Validator – Injury on Duty
Claims Validator – Injury on Duty
Location: Groenkloof, PretoriaRemuneration: 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
- 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
- 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
- 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)
- 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