Case / Claim Manager

THE JOB AT A GLANCETo deliver coordinate case management: through the three pillars clinical rehabilitation, vocational rehabilitation, and social reintegration. Track progress of injured COID employees referred to RMA Rehab Team, liaise with therapy team, with the purpose of prevention of complications, and guide the process of restoration to independent...

Job DescriptionOur client is seeking an experienced Portuguese Claims Manager (Health Care) in Johannesburg (Hybrid / Remote) adept at handling complex issues related to healthcare policies and processes. The successful candidate will manage a team responsible for case management, claims processing, and customer service. This role demands expertise in...

Job Advert Summary:A leadership role in the Life Operations team reporting to the Claims Manager. This role is responsible for managing a team responsible for assessing Sickness, Permanent Incapacity and Disability Claims as well as Case/Claims Management of ongoing claims.Ensure best practice and supporting the company in meeting its objectives.Minimum...

Finance/AccountingJohannesburg - Gauteng***: MANAGER :CLAIMS PROCESSINGOur client is looking for an experienced Manager: Claims Processing to join their teamMAIN PURPOSE OF THE ROLE:Manage the Benefits Investigation and claims processing function, ensuring the provision of professional support services to the surviving dependants/beneficiaries (for informed...

Perform desk research to analyze the patient's medical profile and claiming behavior to develop possible action plans to ensure that the patient is receiving the level and extent of care necessary for optimal management of his/her condition(s), possible action plans for improving patient adherence to treatment and possible action plans regarding lifestyle...

Position Overview The Claims Consultant assesses and manages claims effectively and efficiently, within the required SLA, ensuring optimal profitability of the business. Responsibilities Claims assessment and management of Individual Life claims across all benefit types, for the South African operation, as well as other benefits relevant to the...

Your Business Unit:Our Life Claims Management team mitigates risk at claim stage. We collaborate across the various Life business units, including Underwriting, Product & Pricing, Chief Medical Office and Marketing. Your Team: Our Life Claims Management team comprises professionals with an extensive range of skills and interests including complex claims...

Job Advert Summary:This is a senior position reporting to the CFO. This role will oversee the claims department responsible for the assessment and processing of Death, Sickness, Critical Illness and Hospital claims. If you have extensive experience in claims assessment in a life company, self-driven, confident to handle complex claims issues, possess good...

Opportunity in a premier commercial risk insurance company awaits you, to handle complex claims with expertise.You will be responsible for promptly handling marine claims, resolving all related enquiries, and developing a claims case strategy to ensure that appropriate reserves are assigned, investigations conducted, and appropriate suppliers engaged.You...

Bring your possibility to life Define your career with us With over 100 years of rich history and strongly positioned as a local bank with regional and international expertise, a career with our family offers the opportunity to be part of this exciting growth journey, to reset our future and shape our destiny as a proudly African group.Job SummaryTo provide...

The Marine Claims Specialist's role is to, with limited supervision, manage the non-standard complex claims (high severity/complexity) in the most effective, efficient way whilst delivering a customer centric claims service in a manner which supports Bryte Basics.Key Tasks & Accountabilities Promptly handle marine claims and take responsibility to resolve...

3Sixty Health has a great opportunity for a suitably qualified individual to fulfil the advertised position3SIXTY HEALTH and join their team.BACKGROUND 3Sixty Health is a black owned and managed, reputable and a major player in driving South African economy by investing in ''black excellence''3Sixty Health is 100% black owned and black managed...

Job Offer: Insurance Claims Attorney – JohannesburgbeBee Professionals is looking for an experienced Insurance Claims Attorney to join our team in Johannesburg. The successful candidate will be responsible for providing legal advice and representation to clients in insurance claims cases.The ideal candidate should have a law degree from an accredited...

To plan, coordinate and execute case management work at hospital level. The incumbent utilities clinical knowledge to minimise financial risk and ensure accurate billing through comprehensive accurate coding of patient care.Minimum Requirements: Relevant Nursing qualification. CM or Billings Clerk with ICD training and anatomy and physiology course...

Case ManagerPosition:Case ManagerDepartment:General and Specialized Case ManagementGrade:B4M1Position Purpose:Experience:5 years ward experience, 2 years' experience hospital scheme case management advantageousQualifications:Degree / Diploma in nursing, midwifery, and psychiatry. Current SANC professional nursing registration. Proof of registration to be...

Full Time _Gauteng_, _Johannesburg_ November 16, December 16, 2023 Management - Medical NursingJob Overview:Requirements: Relevant Nursing qualification CM or Billings Clerk with ICD training and anatomy and physiology course certification IDC and CPO coding 35 years' experience as a hospital case managerThe main purpose of this position:To plan, coordinate...

About our client:Join the ranks of the world's leading reinsurance company With over 40,000 employees across numerous global locations, our client has been a pillar of the insurance industry in South Africa for over 50 years. They are at the forefront of transforming how insurance is perceived, converting uncertainty into manageable risk and driving...

Career Level 3 Your Business Unit:Our Life Claims Management team mitigates risk at claim stage.We collaborate across the various Life business units, including Underwriting, Product & Pricing, Chief Medical Office and Marketing.Your Team:Our Life Claims Management team comprises professionals with an extensive range of skills and interests including complex...

Description To effectively oversee the management in the Specialty Claims area and ensure the containment of spend, oversee strategic initiatives, claims, and risk strategies, effectively manage the use of the Specialty Claims Policy, setting and monitoring of Standard Operating Procedures to facilitate evidence based decision-making and achievement of...

Our client in the Insurance industry is currently looking for a Claims Manager in Park Town, Johannesburg.Responsibilities: Day to day management of staff. Delegate and distribute workload as required. Appraise and review performance targets/progress. Staff recruitment and selection. Manage efficiencies in department. Claims strategy training of staff,...