Senior Claims Investigation Manager

Risk Manager specializing in the Healthcare Industry. This RM will be overseeing a team for claims management and claims consulting. Employee will have oversight of Risk Management policies and procedures and streamline the implementation and training of company employees. Employee should be knowledgeable in investigating and evaluating claims, determining...

Matric Certificate with Mathematics Regulatory Exam and Higher Certificate in Short term Insurance - NQF 5 Degree in Law or Risk Management or similar is preferred Leadership / Management Development Certification is preferred Class of Business certification (Personal Lines & Commercial Lines) Must be compliant with FAIS Fit and Proper requirements with...

**About the Role**: This is a high-level Claims position based in Johannesburg, South Africa, responsible for the professional handling of a broad portfolio of general property, engineering, mining & casualty / financial lines claims, underwritten in both the retail and international wholesale markets. You will be equally comfortable acting as Lead or as a...

**OPPORTUNITY** - Santam Broker Solutions has a position available for an Executive Head of Claims at senior management level preferably based in Johannesburg. The position reports to the Chief Executive Officer of Broker Solutions.**WHAT WILL YOU DO** - To provide strategic and operational direction to optimise and manage the end-to-end claims value chain...

**Requisition Details & Talent Acquisition Contact** - REQ 133277- Tshego Semenya- Location: Johannesburg- Closing date: 24 April 2024**Cluster** - Group Risk**Career Stream** - Forensics **Leadership Pipeline** - Manage Self: Technical **Position** - Special Investigator**Job Purpose** - To conduct investigations in Nedbank by following forensic...

**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...

**We're looking for** An experienced and highly motivated Operations & Claims Manager who will play a key part in supporting day-to-day operational activities, solving challenging business problems, and managing clients' insurance claims from start to finish. **Who are you?** - You have the ability to manage your own time and responsibilities effectively -...

**JOB PURPOSE**: To plan, implement, co-ordinate, control and maintain a professional investigation service to safeguard, investigate the theft of, and recover assets and information of the company and its clients. EDUCATION AND EXPERIENCE: 1.1 Matric (Grade 12) or equivalent (NQF level 4). 1.2 PSiRA registered, minimum grade C. 1.3 Any further education...

Description na Gathering and compiling all the relevant documents and information required by investigators to start the investigation process. Ensure effective quality profiling for LVA’S and investigations. Determining the merits of the claim - fraudulent versus legitimate Conducting background checks on individuals or companies Ensure...

**Job Description**: **Recovery Manager (Strategy / Investigate / Recovery / Manage) - Johannesburg, South Africa** **Reference Number: NKSR-CRM-01** Our client is an international firm focused on international trade law, commercial dispute resolution, and credit insurance claims and recoveries management. They are looking for a Claims and Recovery Manager...

The Claims Manager is responsible for the overall management of the claims department. The duties include, managing, planning, monitoring and reporting. Providing assistance to Client Services, the Call Centre, Claims team, employers and external service providers. The Claims Manager reports to the Snr Manager PSSPF.Areas of ResponsibilitiesMeet production...

**Claims Assessors (Multiple)** **Financial Services Industry** **Contract - 12 Months** **Braamfontein, Johannesburg** **Job Purpose**: Review and adjudicates claims in accordance with claim processing guidelines. Answer queries on the claims handling process and specific claims, whether those questions come from members directly, internal operations...

Description To develop and manage a strategy and operating model for the Claims function that supports the growth and development of the iWYZE business. This role oversees the provision of a comprehensive, fit-for-purpose claims framework, ensuring effective management of the entire claims process from registration to settlement. Management of the...

Description N/A Gathering and compiling all the relevant documents and information required by investigators to start the investigation process. Ensure effective quality profiling for LVA’S and investigations. Determining the merits of the claim - fraudulent versus legitimate Conducting background checks on individuals or companies Ensure...

**Reference Number**: NKSR-CRM-01 Our client is an international firm focused on international trade law, commercial dispute resolution, and credit insurance claims and recoveries management. They are looking for a Claims and Recovery Manager to manage their regional portfolio of cases in Sub-Saharan Africa and help ensure amicable and/or judicial...

**Requisition Details & Talent Acquisition Contact** - REQ 125370- Tshego Semenya- Closing date: 24 April 2023**Cluster** - Group Risk**Career Stream** - Forensics **Leadership Pipeline** - Manage Self: Professional **Position** - Digital Forensic Investigator**Job Purpose** - To conduct digital forensic investigations and render forensic technical support...

Job Description Dear Future, Claims Assessor Specialist The role requires you to perform accurate assessment, investigation and management of long-term insurance claims in accordance with the goals, objectives, processes and standards of the organization to meet customer expectations. Are you someone who can do the following: - Accurate assessment,...

Who we are American International Group, Inc. (AIG) is a leading global insurance organization. Building on 100 years of experience, today AIG member companies provide a wide range of property casualty insurance, life insurance, retirement solutions, and other financial services to customers in more than 80 countries and jurisdictions. These diverse...

CAREER OPPORTUNITY Santam’s Claims department has positions available for Merit Claims Service Consultants (Non Motor) based in Auckland Park, Gauteng. The Claims Service Consultant (CSC) for Merit Desktop Assessment claims is accountable for the claims end to end and is responsible for coordinating and overseeing all actions on claims in this processing...

Job Title: Marine Claims SpecialistCompany Overview: Join our client's reputable insurance company, specializing in marine insurance solutions. They are currently seeking a skilled and experienced Marine Claims Specialist to join their Claims Department. Position Overview: As a Marine Claims Specialist, you will play a crucial role in our client's Claims...