Manager: Claims Processing

2 weeks ago


Johannesburg, South Africa Affirmative Portfolios Full time

**Finance/Accounting**
**Johannesburg - Gauteng**
***:
**MANAGER : CLAIMS PROCESSING**

Our client is looking for an experienced Manager: Claims Processing to join their team

**MAIN PURPOSE OF THE ROLE**:
Manage the Benefits Investigation and claims processing function, ensuring the provision of professional support services to the surviving dependants/beneficiaries (for informed allocation of benefits) to the correct beneficiaries in compliance with the Fund rules, Section 37C of the Pension Funds Act and related Acts. Ensure the timeous and accurate payment of benefits, manage issues associated with claims and benefit administration

**TECHNICAL COMPETENCY REQUIREMENTS**:
Working knowledge of Pension Fund Rules

Basic knowledge of Income Tax Act, Divorce Act, Pension Funds Act, Child Care Act, Marriage Act, Recognition of Customary Marriage Act, Mental Health Act

Working knowledge of Benefit administration

Knowledge of Law - Section 37 (C) allocation of death benefit lump sums

Valid driver’s licence

**REQUIRED MINIMUM EDUCATION/TRAINING**

Relevant Bachelor’s Degree, preferably in Law. Registered with professional bodies - where applicable.

**REQUIRED MINIMUM WORK EXPERIENCE**

At least 6 years job-related experience, which should include at least 2 years’ experience in a management role

Knowledge of an African Language is an advantage

**DUTIES**:
Manage internal departmental functions and processes

Project Management

Provide input to the strategic management of the section

Oversee Section 37C dependency investigations on death benefits allocations

Oversee the provision of social services to guardian cases; implementation of Benefits Committee & Medical Panel decisions and requests / referrals for case investigations and social advice from other internal departments

People Leadership

Financial Management

Corporate Governance

Contribute to the team


  • Claims Manager

    1 month ago


    Johannesburg, South Africa Insphired Recruitment Solutions Full time

    Our client in the Insurance industry is currently looking for a **Claims Manager** in Park Town, Johannesburg. **Responsibilities**: - Day to day management of staff. - Delegate and distribute workload as required. - Appraise and review performance targets/progress. - Staff recruitment and selection. - Manage efficiencies in department. - Claims strategy -...

  • SAP Claims Management

    4 weeks ago


    Johannesburg, South Africa Unique Personnel Full time

    **Job Number** - 71116 **Job Type** - Permanent **Job Title** - SAP Claims Management **Computer Skills** - Claims management,Communication,Problem solving,Project management,Training,Data Management,Technical **Industry** - Computer - IT **City** - Johannesburg **Province** - Gauteng - Collaborate with clients to understand their business processes,...


  • Johannesburg, South Africa HR Studio Full time

    **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 -...


  • Johannesburg, South Africa Ultra Personnel Full time

    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...


  • Johannesburg, South Africa Exclusively Remote Full time

    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...

  • Claims Manager

    1 month ago


    Johannesburg, South Africa Salt Employee Benefits Full time

    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

    1 month ago


    Johannesburg, South Africa Isilumko Staffing Full time

    **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...

  • Case / Claim Manager

    1 month ago


    Johannesburg, South Africa AS White Global Full time

    **Case Manager / Claim Specialist (based in Australia)** - Our Australia client is looking for Case Manager to be based onsite in New South Wales, Australia. - Working hours: Monday to Friday, normal office hours - Salary: Negotiable - according to Australia pay band - Others: Assistance with visa processing **Job description**: - Provide early, timely and...

  • Head : Claims

    5 days ago


    Johannesburg, South Africa Old Mutual Full time

    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...

  • Claim Handler

    6 days ago


    Johannesburg, South Africa SavageOne Pty Ltd Full time

    Key Responsibilities:Receive and review insurance claims, including property damage, liability, and personal injury claims, to determine coverage and eligibility.Conduct thorough investigations into the circumstances surrounding each claim, gathering relevant information, documents, and evidence.Evaluate claim documentation, policy terms, and legal...

  • Claims Controller

    1 month ago


    Johannesburg, South Africa PC Staffing Solutions Full time

    **PURPOSE OF THE JOB**: To collate records and examine information to assist in determining claim settlements, within the governed framework to ensure compliance with the short term insurance regulations or to determine the validity of the claims from agent companies, assess the liability and negotiate settlements. **Duties and Responsibilities**: **Claims...

  • Claims Controller

    1 month ago


    Johannesburg, South Africa Boikago Group Full time

    **Job Details**: - Department Insurance- Minimum experience Associate- Company primary industry Insurance- Job functional area Other**Introduction** A great company in the insurance sector is actively sourcing for a Claims Controller to join their team for a 6 months fixed term contract and accurately record and examine received claims and any related...


  • Johannesburg, South Africa Jobs4All Full time

    Contract Position - 12 Months As a Legal Commercial/Claim Manager, you will be required to manage EPC construction claims identification, avoidance, defense, and prosecution. - Manage all legal matters on the Project - To be a single point of contact for the claims and disputes and to manage the claims and dispute resolution process. - Provide analysis and...

  • Claims Controller

    4 days ago


    Johannesburg, South Africa Six Sense Full time

    Gauteng, Johannesburg - Annually Cost To Company (Market related) A well-established short term insurer seeking to appoint an Claims Controller To ensure compliance with the short-term insurance regulations, ensure effective processing of claims within the governed framework and management of claims process within assigned mandate. **Qualifications**: -...


  • Johannesburg, South Africa Tree of New Beginnings Full time

    **Who we are** We’re different. We’re building digital insurance products that make people’s lives better through easy-to-use digital journeys, connected to clever AI algorithms, delivering world-first solutions to add true value to customers' lives. These innovations have resulted in partnerships with global giants like Google, multiple insurance...

  • Claims Assessor

    1 month ago


    Johannesburg, South Africa Sanlam Full time

    Who are we? Sanlam Developing Markets [SDM] (a wholly-owned subsidiary of Sanlam Life Limited) is one of the top financial services providers in the South African entry-level and emerging middle market. It aims to understand the unique requirements of clients and offers a wide range of simple and affordable financial solutions that cover needs such as...

  • Claims Controller

    7 days ago


    Johannesburg, South Africa Sasria Full time

    Closing Date - 2024/05/24 - Reference Number - SAS240513-1 - Job Title - Claims Controller - C4 - Job Type - Permanent - Division - Insurance Operations - Department - Claims - EE Occupational Levels - Level 4 & 5: Skilled, Technical and Academically Qualified - Location - Town / City - Johannesburg - Location - Province - Gauteng - Location - Country -...


  • Johannesburg, South Africa Sanlam Full time

    **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...


  • Johannesburg, South Africa Six Sense Full time

    Gauteng, JHB - Northern Suburbs - Annually Cost To Company (Market related) A well-established short term insurer is seeking to appoint a Complex Claims Manager The Complex Claims Manager will effectively manage claims experience within the governance framework, lead and manage complex Claims controllers and ultimately ensuring the attainment objectives...


  • Johannesburg, South Africa Sanlam Full time

    What will you do? This career opportunity is available at SHA Risk Specialists a division of Santam for a Claims Specialist: Casualty Claims , who will be based in Johannesburg: Illovo. What will make you successful in this role? Claims Practice Management  Attend and manage all aspects related to a portfolio of specialist claims...