Senior Claims Administrator
3 weeks ago
We are seeking a Senior Claims Administrator with strong clinical background to join our team. Qualifications Clinical or Nursing Diploma/Degree. SANC Registered. FAIS Compliant (advantageous). Skills and Experience At least 2 – 3 years’ gap cover claims experience. Technical knowledge of various health insurance products. Advanced knowledge of ICD Codes, medical procedures, and medical aid schemes. Sound understanding of Prescribed Minimum Benefits (PMB) legislation in conjunction with gap cover. Experience in dealing with escalated and/or complex claims. Strong computer skills, including Microsoft Office and intermediate to advanced Excel. Excellent customer service, communication, and interpersonal skills. Advanced Business English (written and verbal). Strong attention to detail and accuracy. Analytical and problem‑solving skills with the ability to interpret clinical information. Ability to take ownership and responsibility for actions and outcomes. Ability to handle pressure while remaining calm, professional, courteous, and solution oriented. Ability to work independently and as part of a team. Ability to prioritise tasks effectively in a fast‑paced environment. Strong organisational and time management skills. Sound ethical judgment and integrity, ensuring compliance with internal policies and regulatory standards. Demonstrate continuous learning mindset with a willingness to stay current on clinical advancements and industry changes. Reporting To Claims Supervisor Scope of Responsibility Authorise assessed claims in accordance with policy rules, benefits, and conditions. Conduct clinical review and validation of pre‑existing conditions and casualty claims. Attend to escalated and complex clinical queries. Respond to broker and policyholder queries in a timely and professional manner. Ensure compliance with internal policies, procedures, and regulatory requirements. Maintain accurate records and documentation of claims assessments and outcomes. Contribute to process improvement initiatives within the claims department. Any other duties as assigned by the company from time to time. Changes The company reserves the right to change this job description at its sole discretion from time to time. Applications #J-18808-Ljbffr
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Claims Specialist
3 weeks ago
City of Johannesburg Metropolitan Municipality, South Africa Bryte Insurance Company Limited Full timeThe purpose of the function is to attend to the adjustment and management of claims with the aim of minimising the losses due to the company and approving only those claims that are valid under the Policy. Key Tasks & Accountabilities Effective processing of claims Prioritise daily activities to enable processing and maintenance of all claims within mandate...
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Claims Administrator
1 week ago
Johannesburg, Gauteng, South Africa Hollard Insurance Full time R104 000 - R208 000 per yearHello… an exciting new opportunity has just become available atLumkani, an affiliate of Hollard. We are looking to recruit an experiencedClaims Administrator,who is detail-oriented, organised, and able to manage your workload efficiently while delivering professional, empathetic customer service. Who understands claims procedures, policy terms, and basic...
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Senior Human Resources Generalist
3 weeks ago
City of Johannesburg Metropolitan Municipality, South Africa Khawulezaa Africa Full timeKhawulezaa Africa is seeking an experienced and dynamic Senior Human Resources Generalist to join our client’s growing team. The ideal candidate will have a solid background across the full HR value chain, with particular strength in payroll processing, industrial relations (IR), COIDA claims, and HR reporting. Key Responsibilities: Manage and process...
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Senior Human Resources Generalist
2 weeks ago
City of Johannesburg Metropolitan Municipality, South Africa Khawulezaa Africa Full timeKhawulezaa Africa is seeking an experienced and dynamic Senior Human Resources Generalist to join our client’s growing team. The ideal candidate will have a solid background across the full HR value chain, with particular strength in payroll processing, industrial relations (IR), COIDA claims, and HR reporting. Key Responsibilities: Manage and process the...
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Dental Insurance Claims Administrator
15 hours ago
Century City, South Africa Dental Information Systems Full time**ABOUT DENIS** Dental Information Systems (Pty) Ltd (DENIS) has been a leader in dental managed care services since 1996. Our extensive experience in dental risk management combined with cutting edge technology offers a world class service relevant to the Southern Africa market (South Africa, Botswana, Namibia). DENIS currently provides dental managed...
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Claims Administrator
2 weeks ago
Johannesburg, South Africa HR Xchange Full timeThis **established** and fast-**growing** **Logistics** service provider with branches across South Africa offers a **supportive culture** with great opportunities for **growth** and **development**. *** As a **Claims Administrator**, you will be responsible for **managing** and **administering** **claims**, **maintaining** customer **databases**, and...
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Claims Administrator
14 hours ago
Johannesburg, South Africa RAD Resources Full timeOpportunity for a at Johannesburg North Insurance Brokerage. Play a crucial role in restoring our clients to their pre-loss status. Be the driving force behind efficient claims management, ensuring adherence to the companies service standards and swift turnaround times. Make a difference by helping clients navigate the complexities of the claims process and...
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Claims Administrator
4 days ago
Johannesburg, South Africa Hollard Insurance Full timeAbout the Role Join to apply for the Claims Administrator (Lumkani) role at Hollard Insurance Hello… an exciting new opportunity has just become available at Lumkani, an affiliate of Hollard . We are looking to recruit an experienced Claims Administrator , who is detail‑oriented, organised and able to manage work efficiently while delivering...
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Claims Administrator
2 weeks ago
Johannesburg, South Africa Specd Full timeQUALIFICATIONS AND EXPERIENCE: - Minimum of Grade 12 (Matric) - Strong understanding of the financial services industry and a minimum of 2years insurance experience - Minimum of 2 years administration experience in a claims and policy administration environment KEY OUTPUTS: - Ensure accurate and timeous acknowledgement & settlement of risk claims -...
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Claims Administrator
2 weeks ago
Johannesburg, South Africa Zensar Technologies Full timeClaims Administrator Johannesburg About Job: We are hiring a Claims Administrator to join our team. If you’re excited to be part of a winning team, Zensar is a great place to grow your career. You’ll be glad you make the right choice to join us. Advantage of Zensar Technologies We are a technology consulting and services company with 11, 800+...
