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Require a ADJUDICATOR in Harare , Zimbabwe
Job Location:
Monthly Salary:
Not provided by the employer
Monthly Salary:
Experience Required:
2-5years
Experience Required:
Posted:
19 August 2026 (6 hours ago)
Posted:
Application Deadline:
16 November 2026
Application Deadline:
Vacancies:
1 Vacancy
Vacancies:
Job Summary
Adjudicate medical claims against AHFOZ and non-AHFOZ tariffs with accuracy and consistency.
Maintain and update the Drug Master File in line with current pricing and formulary changes.
Liaise with the Medical Services Provider Network on claims-related queries and provider account matters.
Apply claims and benefits accounting principles correctly across member accounts.
Apply waiting period rules accurately to new and existing membership claims.
Verify that all claims payments are fully justified before approval safeguarding the Society against irregular or fraudulent payments.
Report directly to and support the Principal Officer GKMAS on claims administration matters.
Requirements
Must be semi-retired or retired with a proven track record in medical aid claims administration.
Must hold a valid Class 4 Drivers Licence.
A veteran of medical claims tariffs with sound working knowledge of both AHFOZ and non-AHFOZ tariff structures.
Demonstrated experience in Drug Master File management.
Strong working knowledge of the Medical Services Provider Network and provider relationships.
Competence in claims and benefits accounting.
Sound understanding of waiting periods and their correct application to claims.
A meticulous eye for ensuring all claims payments are justified accurate and compliant before disbursement
Required Skills:
We are seeking a highly organized proactive and detail-oriented Administrative Assistant to join our dynamic team. This role is pivotal in ensuring the smooth and efficient operation of our office providing comprehensive administrative support to management and various departments.
Required Education:
Bachelors degree in Business Administration Commerce or a related field preferred.
