Disability Claims Coordinator

2 weeks ago


Centurion, Gauteng, South Africa Momentum Corporate Full time

Introduction

Role Purpose
Ensure 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 system within departmental guidelines.

Requirements:

  • Grade 12 (NQF Level 4)
  • At least 2 years' experience in Employee Benefits and Insurance Industry is advantageous
  • Successful completion of Yenzani training is preferred
  • A working knowledge of Office 36
  • Intermediate Excel skills

Duties & Responsibilities

INTERNAL PROCESS

  • Responsible for the timely and accurate management and coordination of new and existing disability claims, in collaboration with claims assessors and administrators.
  • In collaboration with the disability claims assessor, responsible for requesting outstanding or additional information required for the claims assessment required by the assessor.
  • Responsible for summarising documents and information received into an accurate and relevant summary, which can be utilised by the claims assessor in the claims assessment process.
  • Validate all information and data received from claimants for new and existing claims, using policy documents and system information.
  • Suspend or terminate claims based on nonsubmission of requirements.
  • Provide an efficient administrative support function to the claims assessors.
  • Update workflow system and upload documents with personal and claimant information.
  • Monitor, manage and report on items within the assessor's workflow queue.
  • Manning of system mailboxes
  • Ensure adherence to specific turnaround times of each disability claim attended to
  • Take accountability for following up on outstanding information from clients, which is necessary for the claims assessment.
  • Provide accurate and timely feedback to clients on the status of their claims and manage their feedback accordingly.
  • Provide up to date and accurate disability status reports to clients.

CLIENT

  • Build and maintain relationships with clients and internal and external stakeholders.
  • Deliver on service level agreements made with clients and internal and external stakeholders in order to ensure that client expectations are managed.
  • Make recommendations to improve client service and fair treatment of clients within area of responsibility.
  • Participate and contribute to a culture which builds rewarding relationships, facilitates feedback and provides exceptional client service.
PEOPLE- Develop and maintain productive and collaborative working relationships with peers and stakeholders

  • Positively influence and participate in change initiatives
  • Continuously develop own expertise in terms of professional, industry and legislation knowledge
  • Contribute to continuous innovation through the development, sharing and implementation of new ideas
  • Take ownership for driving career development

FINANCE

  • Identify opportunities to enhance cost effectiveness and increase operational efficiency
  • Provide input into the risk identification processes and communicate recommendations in the appropriate forum.

Competencies

  • Planning and Organisation Skills
  • Accountability
  • Adaptability
  • Results Orientation
  • Attention to Detail
  • People Skills
  • Customer Orientation
  • Business Administration Skills
  • Business Writing Skills
  • Communicating with Impact

  • Claims Assessor

    2 weeks ago


    Centurion, Gauteng, South Africa Momentum Life Full time

    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...

  • Claims Assessor

    2 weeks ago


    Centurion, Gauteng, South Africa Health Solutions Full time

    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...

  • Claims Assessor

    2 weeks ago


    Centurion, Gauteng, South Africa MMI Holdings Ltd Full time

    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...

  • Claims Assessor X2

    2 weeks ago


    Centurion, Gauteng, South Africa Health Solutions Full time

    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...


  • Centurion, Gauteng, South Africa Customer Loyalty Consultants (Pty) Ltd Full time

    Gauteng, Centurion**Monthly (Momentum Umbrella Fund: Death Benefit, Funeral Cover Benefit, Lump Sum Disability Benefit, Critical, Market related)We are looking for a dynamic Third-Party Recovery Claims Consultant to joint our Recoveries team. The main purpose of the position is to take full responsibility over third party recovery claims while ensuring that...

  • Claims Administrator

    2 weeks ago


    Centurion, Gauteng, South Africa PSG Insure Full time

    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...

  • Claims Consultant

    2 weeks ago


    Centurion, Gauteng, South Africa PSG Insure Full time

    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...


  • Centurion, Gauteng, South Africa Affirmative Portfolios Full time

    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...


  • Centurion, Gauteng, South Africa Customer Loyalty Consultants (Pty) Ltd Full time

    Gauteng, Centurion**R40'000.00Qualifications and Skills Bachelor's degree in Finance, Accounting, Business Administration, or a related field. Proven experience in bordereaux management, premium reconciliation, financial analysis, and claims coordination within the insurance industry. Advanced proficiency in Microsoft Excel for data manipulation, analysis,...


  • Centurion, Gauteng, South Africa PSG Wealth Financial Planning Full time

    VACANCY | INSURE ASDVISER ASSISTANT | CENTURION, GAUTENG | PERMANENTPSGs commitment to transform and embrace diversity is what drives us to achieve a diverse workplace with employment equity as a key goal to create an inclusive workforce. In achieving our employment equity goals, we give preference to applicants from designated groups, and we encourage...

  • Marketing Coordinator

    2 weeks ago


    Centurion, Gauteng, South Africa Exclusive Networks Full time

    EXCLUSIVE NETWORKS| Introduction**"Exclusive Networks (EXN) is a global cybersecurity specialist that provides partners and end-customers with a wide range of services and product portfolios via proven routes to market. With offices in over 45 countries and the ability to serve customers in over 170 countries, we combine a local perspective with the scale...

  • HR Admin Officer

    2 weeks ago


    Centurion, Gauteng, South Africa Construction Industry Development Board Full time

    HR Administration:Create and update relevant Human Resources forms and templates - Maintain Human Resources documents and related correspondences - Administer annual salary adjustments and performance bonuses -Administration of all remuneration matters and communication with payroll - Prepare letters for all related matters -.Verify all payroll submissions...

  • Operations Manager

    2 weeks ago


    Centurion, Gauteng, South Africa Six Sense Full time

    Gauteng, Centurion Annually Cost To Company (Market related)A well-established financial services business is seeking to appoint a Operations ManagerDevelop functional unit business plans for both the life and non-life insurance business to contribute to the achievement of strategic objectives of the organization.Qualifications & Experience: Honours BCom in...

  • HR Practitioner

    2 weeks ago


    Centurion, Gauteng, South Africa Eskort Full time

    A great opportunity for an HR Practitioner opened up at our Irene office. The overall purpose of the position is to support all departments and management from a human capital perspective.QUALIFICATION:Tertiary Qualifcation (BA/BCOM) in Human Resource ManagementEXPERIENCE:3-5 years work experience as a HR Generalist, preferably in a manufacturing or retail...

  • Operations Manager

    2 weeks ago


    Centurion, Gauteng, South Africa Edge Executives Full time

    MAIN PURPOSE OF THE JOB Develop functional unit business plans for both the life and non-life insurance business to contribute to the achievement of strategic objectives of the organisation.Oversee the effective functioning of claims management processes across all product lines to drive efficient client serving and customer centricity.1. Operations...

  • Veterinary Nurse

    2 weeks ago


    Centurion, Gauteng, South Africa OUTsurance Full time

    Company DescriptionOUTsurance has been propelling the South African insurance industry forward for the last 26 years. As leaders in the field, we're always looking for innovative ways to create digitally-advanced solutions, without losing sight of our human values.Our continued success can be attributed to outstanding employees who set the bar high with...


  • Centurion, Gauteng, South Africa Saab Inc. Full time

    We have a vacancy for an Executive Marketing Administrator within the Business Develop, Marketing & Sales Department. _You must possess exceptional timemanagement and multitasking skills to handle multiple responsibilities efficiently_Your roleAdministration: Diary management for the Vice President and Head of Business Development and Strategy Determine...


  • Centurion, Gauteng, South Africa The South African Weather Service (SAWS) Full time

    The South African Weather Service (SAWS) is a Section 3(a) public entity under the Ministry ofEnvironmental Affairs and is governed by a Board. The organisation is an authoritative voice forweather and climate related services in South Africa and is a member of the World MeteorologicalOrganization (WMO) to fulfil a range of international obligations of the...


  • Centurion, Gauteng, South Africa Syntell Full time

    VACANCY:INTERN:HUMAN RESOURCES(REF:#IHR24)Location: Centurion, GautengReporting Line Manager: HR PractitionerContract Type: InternshipResponsibilities: Timeous, professional and accurate handling of queries. Drafting and advertising vacancies. Shortlisting of CV's, scheduling and conducting interviews. Conduct all employment checks. Prepare recruitment...


  • Centurion, Gauteng, South Africa CLC Full time

    Job Purpose:As a Financial Manager, you will be responsible for overseeing and managing all financial aspects of the company. This includes handling day-to-day financial operations, managing the finance department and its staff, implementing and maintaining effective financial controls and processes, preparing and analyzing financial reports, and ensuring...