Claims Specialist

Job Summary:This Claims Specialist position is responsible for managing a high volume of claims, identifying opportunities for recovery, and collaborating with internal stakeholders to achieve optimal outcomes.Key Responsibilities:Daily monitoring of open claims to ensure correct decisions are made regarding merit.Effective communication with brokers and...

About the RoleWe are seeking a skilled Claims Specialist Leader to join our team. As a key member of our organization, you will be responsible for managing complex claims and overseeing recovery processes.Main Responsibilities:Coordinate and manage complex claims from start to finish.Negotiate fair settlements and ensure maximum cost savings are...

**Introduction** **Role Purpose** The role incumbment will assist the Claims Risk Specialist with the management and recovery of benefit debt. This includes benefit overpayments and recovery per agreed acknowledgement of debt agreements concluded on behalf of the scheme. **Requirements**: **Education**: - Matric or equivalent qualification - BCom degree...

RequirementsTo be considered for the Medical Claims Specialist role, you will need to have a strong background in medical claims management, with experience in reviewing and processing medical claims. You will also need to have a proven track record of identifying areas for improvement and implementing corrective actions.The ideal candidate will possess...

Role OverviewEnerlytics CC seeks a highly skilled Insurance Claims Specialist to provide exceptional customer service and support.

As a Claims Specialist, you will play a vital role in ensuring seamless claims management processes, while providing exceptional customer service.Job Description:Manage claims from receipt to finalisation.Ensure compliance with regulatory requirements and internal policies.Build strong relationships with stakeholders to resolve issues efficiently.Communicate...

At Telesure Investment Holdings (TIH), we are seeking a skilled Claims Processing Consultant who is proficient in Afrikaans to fill the role of Claims Validation Specialist.Key Responsibilities:Customer Service Delivery: Manage customer interactions by completing standard activities to fulfill their requests and ensure high-quality service delivery.Data...

Job OverviewWe are seeking an experienced Senior Motor Claims Specialist to join our team. The ideal candidate will have a strong background in motor insurance and claims management, with excellent communication and negotiation skills.About the RoleThis is a challenging opportunity for a seasoned professional to lead and manage a team of specialists in...

Job OverviewWe are seeking a skilled Claims Authorisation Specialist to join our team at Mediclinic Louis Leipoldt. In this role, you will be responsible for ensuring the accurate and timely authorisation of patient claims.About the RoleThis is an exciting opportunity for a motivated individual to make a real difference in the healthcare industry. As a...

-Introduction Metropolitan 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 Purpose To provide an effective and...

Santam Insurance, a leading general insurance company in Southern Africa, has an exciting opportunity for a highly skilled and experienced Claims Validation Specialist.Job Description:The successful candidate will be responsible for ensuring that all flagged and segmented claims are comprehensively validated to achieve conclusive results. The incumbent must...

**Opportunity** - This career opportunity is available at **Echelon** a division of Santam for a **Claims Specialist - Recovery and Complex Claims Manager**, who will be based in **Cape Town.** **What will make you successful in this role?** - To be able to work well under pressure with mínimal supervision. - Be a disciplined individual with good attention...

About the Role:We are looking for a highly motivated Claims Transformation Specialist to join our team at Old Mutual. As a key member of our Agile team, you will be responsible for collaborating with cross-functional teams to deliver key capabilities aligned with our claims transformation strategy.Key Responsibilities:Transformation Leadership: Define and...

Job DescriptionWe are seeking a highly skilled Claims Management Specialist to join our team at Status Staffing.The ideal candidate will have 3 years of commercial claims experience, hold a RE5 qualification and be FAIS compliant. Microsoft Office skills, specifically in Word and Excel, are essential.CIMS experience is advantageous, as well as a Matric or...

About the RoleWe are seeking a skilled Gap Cover Claims Specialist to join our team at Kontak Recruitment. As a key member of our operations team, you will be responsible for ensuring the efficient processing of gap cover claims.Key Responsibilities:Claim Validation and Capture: Validate and review all GAP claim documents received, ensuring any outstanding...

**Required knowledge and skills**: - Empathetic and understanding towards others. - Excellent communication skills both verbal and written. - Attention to detail and accuracy. - Experience in Claims Management is desirable. - Customer focussed. - Understanding of policy cover. **Key Responsibilities**: - To carry out and complete the ‘First Notification...

Job DescriptionThe Claims Management Specialist will be responsible for managing the day-to-day operations of our Automotive Claims Assessment Department. The successful candidate will have a proven track record in operations management and a deep understanding of the insurance industry. They will be responsible for developing processes and procedures to...

**About the Role** For this fascinating role, we are looking for a highly motivated (re-) insurance professional to join our P&C Reinsurance team in the Johannesburg or Cape Town office. In this role, you will be responsible for handling a reinsurance claims portfolio with focus on the Property & Casualty lines of business primarily in the East and South...

**Overview**: The Claims Specialist within the LISP department will report to the Claims Team Leader and will be responsible for assessing, processing, and paying of specialised claims for life, retirement, and discretionary products. Specialised Claims consist of, but is not limited to, death claims, divorce orders, emigrations (including visa expirations),...

Role SummaryWe are seeking an experienced insurance claims specialist to join our team. As a key member of our claims team, you will be responsible for handling inbound claims calls, assessing claims, and providing comprehensive verbal and written advice on policy wording regarding cover and claims.Main ResponsibilitiesHandle inbound claims calls and assess...