Claims Manager

CLC is looking for Claims Operational Manager to provide CLC as a business and the Claims Own Damage department with the necessary management and support in performing the claims processing duties within the SLA's stipulated. This includes all claims processes and tasks as well as all communication relating to matters that impact all...

Job PurposeResponsible to assist with the daily running and management of the Division through the effective use of resources. Ensuring that SLA's are met per Binder Agreements.The purpose is the effective management of claims consultants. Ensure efficient service levels to internal and external clients by providing customer service and preparing and...

Job descriptionThe Claims Consultant is responsible for coordinating and overseeing, managing and negotiating the settlement of the claim. The consultant is accountable for finalising the claim end-to-end and must have knowledge of Commercial and Personal lines products and be able to process motor as well as non-motor claimsResponsibilities: Register claims...

Job description:The Claims Administrator is responsible for coordinating and overseeing, managing, negotiating settlement of the claim and is accountable for the finalisation of the claim end-to-end.Responsibilities: Register claims and appoint assessors Manage claims in terms of claims SLA Make decision regarding merit indemnify or not Negotiate settlement...

IntroductionMetropolitan is one of the oldest financial services brands in South Africa. With a 116 year legacy of serving the communities in which it operates, Metropolitan represents true empowerment in serving Africa's people through affordable financial solutions that create financial growth and security.Role PurposeAssess, review and manage living...

Closing Date2023/03/20Reference NumberMMH Job TitleClaims AssessorPosition TypePermanentRole FamilyClient ServicesClusterHealth SolutionsRemote OpportunitySome of the timeLocation - CountrySouth AfricaLocation - ProvinceGautengLocation - Town / CityCenturionIntroduction Metropolitan is one of the oldest financial services brands in South Africa. With a 116...

To ensure that all administrative functions relating to claims are processed in a timeous and correct mannerREQUIREMENTS Grade 1 FAIS accreditation (Level RE 5) Financial Sector Conduct Authority (FSCA) recognised qualification 5 years in the shortterm insurance industry Excellent English and Afrikaans communication skillsKEY PERFORMANCE AREAS Obtain claim...

IntroductionRole Purpose**- To be part of a team that provides market leading claims assessment capability for living benefits (critical illness, income and disability benefits). This will include specialising in income disability, lump sum disability,critical illness and case management for living benefits, the completion of quality industry assessments...

Finance ~ InsuranceCenturion***: Manager: Actuarial Claims Risk - Centurion - Salary: R pa (Negotiable)Overview The- Manager: Actuarial Claims Risk is responsible to manage the provision of Actuarial Claims Risk support and advice to the Company business.Qualifications Bachelor's Degree/Advanced Diploma in Actuarial Science/Mathematics related qualification....

Gauteng, CenturionA well-established financial services business is seeking to appoint a Head: Claims OperationsThe Head: Claims Operations is primarily responsible to oversee and ensure management of daily operations and functions for all claims in an efficient and effective manner deliver a high level of customer satisfaction.In addition; the incumbent is...

Business Management ~ CommunicationCenturion***: Head: Claim Operations - Centurion - Permanent-Salary: Market RelatedMinimum Job RequirementsQualification And Experience Bachelor's degree in business management / Business Administration / Medical / Health or related qualification. Post graduate qualification in Business Management / Business Administration...

Gauteng, Centurion**R12' R15'000.00 Monthly (Negotiable)We are recruiting for a dynamic VAPS Claims Consultant to join our Short-Term Insurance Claims Team.The VAPS Claims Consultant will mainly be responsible for effective claims handling and settlement of VAPS claims while ensuring efficient service levels to internal and external clients. These duties...

Gauteng, Centurion**R12' R15' Negotiable)We are recruiting for a dynamic VAPS Claims Consultant to join our Claims Team.The main job purpose is the effective handling and settlement of VAPS claims while ensuring efficient service levels to internal and external clients. These duties include accurate reserving of claims, reviewing insurance policies to...

IntroductionMomentum Health Solutions, anentity of MomentumMetropolitan Holdings deliverssustainable, integrated healthsolutions that meet the needs ofclients in the different segmentsand maximise lifetime clientvalue. We build and maintain aculture of innovation, and createvalue through unique insights ofhow to achieve specificoutcomes by using a defined...

Job Purpose:This role is responsible for the assessment of all claims received from the Branches and assist with branch enquiries. To resolve all claim/ quality related queries.Qualifications and or Experience: Grade 12 (Mathematics) Technical and/ or Mechanical Training / Qualification (Diesel and or Petrol) years' experience in administration of claims and...

Gauteng, Centurion**Monthly (Market related, Negotiable)PurposeResponsible to assist with the daily running and management of the Division through the effective use of resources. Ensuring that SLA's are met per Binder Agreements.The purpose is the effective management of claims consultants. Ensure efficient service levels to internal and external clients by...

IntroductionRole PurposeEnsure the smooth running of the disability management administration function by efficient coordination of related tasks. To provide an effective and efficient service to clients and intermediaries by receiving, evaluating and responding to queries timeously. Accurately capture incoming correspondence and claims onto the relevant...

Qualifications: Bachelors Degree in Business Management / Business Administration / Medical / Health or related qualification. Post graduate qualification in Business Management / Business Administration or related qualification.Experience: At least 1012 years relevant claims administration experience of which 5 (five) years must have been at a senior...

IntroductionThrough our client-facing brands Metropolitan and Momentum, with Multiply (wellness and rewards programme), and our other specialist brands, including Guardrisk and Eris Property Group, the group enables business and people from all walks of life to achieve their financial goals and life aspirations.Role PurposeRequirements: Matric FAIS...

Job Advert Summary:Minimum Requirements: A minimum of Grade 1 A minimum of 6 years' experience in medical scheme claims administration 5 years' knowledge of the medical aid industry, regulations, RPL, ISO and other related legislation 1 year knowledge of coding systems (RPL, ICD) 1 year experience in Keyhealth and Profmed Scheme Rules 2 years' MIP and MSO...