GAP Claims Assessor

4 months ago


Cape Town, South Africa Status Staffing Full time

A recent professional profile photo is to accompany your application
EMPLOYMENT TYPE : Permanent
SECTOR : Finance
BASIC SALARY : R16,000
START DATE : A.S.A.P / Immediate

REQUIREMENTS:

  • 2 years experience in a similar role
  • Insurance industry experience (essential)
  • Medical Aid claims processing and administration experience (essential)
  • Ability to work well under pressure
  • Commitment to meet daily targets
  • Self-motivated
  • Having a can do attitude
  • Good written and verbal communication skills
  • Good negotiation skills
  • Good understanding of how medical aids work and operate
  • Intermediary MS Office, especially Excel, Word and Microsoft Outlook skills
  • Good time management skills
  • Works well in a team and independently
  • Copes well with pressure and setbacks
  • Pro-active and using your initiative

DUTIES:
  • Check and validate all GAP claim documents received and to request any outstanding documents
  • Follow the claims process and capture the claim information onto the system
  • Verify and update any client personal information changes on the system policy record
  • Assess the validity of the claim in accordance with the terms and conditions of the clients policy document and to make the relevant claim notes on the system
  • Ensure a clients claim expectation is adequately addressed and managed by applying the TCF principals and effectively communicating with the client or broker regarding their claim
  • Meet your daily minimum claim targets with a high level of accuracy and within service turnaround time Maintain and update your daily workflow tasks and queue
  • Ensure high priority and escalated claims as identified by management are processed within 2 hours Interact with medical aids, hospitals and medical practitioners regarding medical history and accounts required relevant to assessing the claim

HOURS:
  • 08:00 17:00 Monday - Friday



  • Cape Town, Western Cape, South Africa Status Staffing Full time

    Job Title: GAP Claims AssessorWe are seeking a highly skilled GAP Claims Assessor to join our team at Status Staffing. As a GAP Claims Assessor, you will be responsible for assessing and validating GAP claims, ensuring that they meet the terms and conditions of our clients' policies.Key Responsibilities:Assess and validate GAP claims to ensure they meet...

  • GAP Claims Assessor

    4 months ago


    Cape Town, South Africa Status Staffing Full time

    Our Client in Claremont is looking to employ a GAP Claims Assessor with Medical Aid claims processing and administration / insurance industry experience to join their teamA recent professional profile photo is to accompany your applicationEMPLOYMENT TYPE   :           PermanentSECTOR                         :          ...


  • Cape Town, South Africa Career Dynamics Global Full time

    Medical/GAP Claims Assessor x 3CPT/Southern Suburbs (Office based during probation period)Salary Negotiable on experience (R12K - R19 K CTC PM) My client, a leading established Long-term Corporate (Medical Aid/Health Insurance) are looking for an experienced A Medical/GAP Claims Assessor. Experienced as a Broker in the Medical Aid/Health Industry.Fast...

  • Claims Assessor

    4 months ago


    Cape Town, South Africa JenRecruitment Full time

    A vacancy exists for a Claims Assessor in our Gap Claims Assessing Department. (Claremont Cape Town) **Job description & duties**: - To check and validate all GAP claim documents received and to request any outstanding documents - To follow the claims process and capture the claim information onto the system - To verify and update any client personal...

  • Claims Assessor

    4 months ago


    Cape Town, South Africa Kontak Recruitment SA Full time

    Cape Town, Western Cape - Administrative **Claims Assessor (JB4315)** **Claremont, Cape Town, Western Cape** **R16 000 - R19 000 CTC per month based on experience** **Permanent** A leading provider of insurance solutions, dedicated to delivering exceptional service and peace of mind to their clients and strives to exceed expectations by consistently...

  • Claims Assessor

    3 months ago


    Cape Town, South Africa JenRecruitment Full time

    A vacancy exists for a Claims Assessor in our Gap Claims Assessing Department. (Claremont Cape Town) **Job description & duties**: - To check and validate all GAP claim documents received and to request any outstanding documents - To follow the claims process and capture the claim information onto the system - To verify and update any client personal...


  • Cape Town, Western Cape, South Africa Career Dynamics Global Full time

    Medical/GAP Claims AssessorCareer Dynamics Global is seeking an experienced Medical/GAP Claims Assessor to join our team. As a Medical/GAP Claims Assessor, you will be responsible for assessing, verifying, and updating personal contact information for clients, including medical aid details and latest claims.Key Responsibilities:Assess and verify claims in...


  • Cape Town, Western Cape, South Africa Career Dynamics Global Full time

    {"title": "Medical/GAP Claims Assessor", "description": "Job SummaryWe are seeking an experienced Medical/GAP Claims Assessor to join our team at Career Dynamics Global. As a Medical/GAP Claims Assessor, you will be responsible for assessing, verifying, and updating personal contact information for clients, including medical aid details and latest claims.Key...


  • Cape Town, Western Cape, South Africa Sanlam Full time

    Job Title: Desktop Merit Claims AssessorSantam Direct Claims department has a position available for a Desktop Merit Motor assessor who will be based in Tygervalley, Cape town.Job Description:The Desktop Assessor is accountable for all motor claim interactions directly with the client. This includes processing of all direct merit claims administration,...


  • Cape Town, Western Cape, South Africa Sanlam Full time

    Career OpportunitySantam Direct Claims department has a position available for a Desktop Merit Motor assessor who will be based in Tygervalley, Cape town.Job DescriptionThe desktop assessor is accountable for all motor claim interactions directly with the client. This includes processing of all direct merit claims administration, coordinating and overseeing...


  • Cape Town, South Africa The Recruitment Council Full time

    Category: BankingLocation: BellvilleSalary: Market-RelatedAre you a seasoned professional in non-medical claims with a keen eye for detail and a passion for providing excellent customer service? Our client has an exciting opportunity for you to join a leading banking company as a Senior Funeral Claims Assessor.Responsibilities:Support non-medical claims...


  • bellville, Western Cape, South Africa The Recruitment Council Full time

    Category: Banking Location: Bellville Salary: Market-Related Are you a seasoned professional in non-medical claims with a keen eye for detail and a passion for providing excellent customer service? Our client has an exciting opportunity for you to join a leading banking company as a Senior Funeral Claims Assessor. Responsibilities: Support non-medical...


  • Cape Town, South Africa Sanlam Full time

    CAREER OPPORTUNITY- Santam Direct Claims department has a position available for a Desktop Merit Motor assessor who will bebased in Tygervalley, Cape town.The desktop assessor is accountable for all motor claim interactions directly with the client. Processing of alldirect merit claims administration including co-ordinating and overseeing all actions on...

  • Claims Administrator

    3 months ago


    Cape Town, 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 -...


  • Cape Town, South Africa Sanlam Full time

    CAREER OPPORTUNITY- Santam‘s Direct Claims department has positions available for Motor Claims Service Consultant based in Bellville, Cape Town.The purpose of this position is to get the allocated Motor Claims ready for an assessor to be appointed, to handle all such claim enquiries and be responsible for the allocated claim until payment is complete. This...


  • Cape Town, South Africa Sanlam Full time

    CAREER OPPORTUNITY Santam Direct Claims department has a position available for a Desktop Merit Motor assessor who will bebased in Tygervalley, Cape town. JOB DESCRIPTION The desktop assessor is accountable for all motor claim interactions directly with the client. Processing of alldirect merit claims administration including co-ordinating and...

  • Claims Consultant

    3 months ago


    Cape Town, South Africa Yazoo Recruitment Specialists Full time

    Claims Consultant with minimum 3 years’ Commercial and Personal Lines Claims experience in the Short Term Insurance Industry, required to start asap. - Grade 12 - RE Certificate essential - Relevant FAIS accreditation required - Minimum 3 years relevant personal lines and commercial claims experience essential - Experience within a Brokerage with a binder...

  • Claims Negotiator

    1 week ago


    Cape Town, Western Cape, South Africa Old Mutual Full time

    Job Summary:We are seeking a highly skilled Claims Negotiator to join our team at Old Mutual. The successful candidate will be responsible for negotiating claims and providing exceptional customer service.Key Responsibilities:Negotiate claims with brokers and customers to achieve successful outcomesAnalyze claims and confirm cover to ensure accurate...

  • Claims Consultant

    4 months ago


    Cape Town, South Africa Yazoo Recruitment Specialists Full time

    Commercial Claims Consultant with minimum 3 years’ Commercial Claims experience in the Short Term Insurance Claims environment, specifically with a Broker with a binder facility, required to start asap. - Grade 12 - RE Certificate essential - Relevant FAIS accreditation required - Minimum 3 years relevant commercial claims experience essential - Experience...

  • Claims Consultant

    4 months ago


    Cape Town, South Africa Yazoo Recruitment Specialists Full time

    Claims Consultant with minimum 3 years’ Commercial and Personal Lines Claims experience in an Insurer environment, required to start asap with a company based in Cape Town City Bowl. Minimum requirements: - Matric essential - RE5 essential - FAIS qualifications/credits essential - Minimum 3 years’ Commercial and Personal Lines claims experience,...