Claims Manager
7 months ago
Are you an experienced leader with a passion for driving efficiency and excellence in claims resolution and management? We're seeking a dynamic Claims Manager to oversee our clients' end-to-end claims process and lead a dedicated team of claims analysts. We are looking for an individual with a strong personality, a collaboration mindset and the capability to identify trends, fraud and implement strategies for claims prevention. Position is based in Randpark Ridge.
**Minimum requirements**:
- Completed Matric.
- RE5 regulatory examination completed.
- 5 years’ experience with end-to-end claims processing.
- At least 2 years’ experience in a supervisory role.
- Works with urgency and manages the team and claims with a no-nonsense attitude.
**Duties and Responsibilities**:
- Supervise and lead the team of claims analysts.
- Assist the claims analysts with technical queries relating to claims.
- Provide guidance, training and performance feedback to your team members.
- Auditing and authorising of daily claims from the daily claims list to ensure accuracy.
- Auditing of daily claims payments before payments are uploaded and finalized.
- Develop and implement effective and efficient claims processing procedures.
- Monitor the performance of the claims team, track key performance indicators (KPIs) and implement improvements as needed.
- Ensure timely and accurate claims assessment, investigation and resolution.
- Regularly analyse recovery possibilities, identify trends and implement strategies to improve recovery efforts. This may involve refining legal processes, analysing data for identification of recovery opportunities and collaborating with legal or investigative teams to strengthen recovery outcomes.
- Work closely with brokers to address client inquiries, complaints and concerns.
- Liaison with the risk carriers including scheduled and ad-hoc reporting on various claims reports as required.
- Strive to enhance broker/client satisfaction through efficient claim processing.
- Analyse claims data to identify patterns, trends and areas for improvement.
- Generate reports on claims performance and present findings to management.
- Collaborate with underwriting teams to assess risk factors and improve risk management strategies.
- Develop and implement strategies to prevent fraudulent claims.
- Communicate effectively with internal stakeholders, external partners, clients and brokers.
- Provide regular updates to senior management on claims status, performance metrics and challenges.
- Stay current on industry regulations and compliance requirements.
- Implement and enforce compliance with company policies and procedures (claims check lists).
- Collaborate with legal and compliance teams to address regulatory issues.
- Handle and oversee claim complaints.
-
Claims Analyst
7 months ago
Randburg, South Africa Green Marble Recruitment Consultants Full time**Minimum requirements**: - Completed Matric. - Completed RE5 Regulatory Examination. - At least 3 years’ experience in claims. - Own transport and valid licence. - Clear criminal and credit checks. - Reliable individual with sober habits. **Duties and responsibilities**: - Handle claims as per delegated claims portfolio from cradle to grave. - Daily...
-
Claims Administrator Internship
6 months ago
Randburg, South Africa Trofomo Full timeResponsibilities - Ensure adherence to organisational policies, practices, and procedures. - Deliver market leading claim service and product knowledge. - Verification of claims and claim registration. Standard Operating Procedures (SoP) - ensuring all administration and data capturing requirements are met. - Requesting and reviewing of claim forms, follow...
-
Claims Handling Expert
1 week ago
Randburg, Gauteng, South Africa iSON Xperiences Full timeAbout the Role: At iSON Xperiences, we are committed to delivering exceptional customer experiences. As a Claims Handling Expert, you will be responsible for resolving claims efficiently and effectively while maintaining a high level of customer satisfaction.Key Responsibilities:Evaluate claims and determine their validity.Communicate with customers...
-
Claims Resolution Specialist
1 month ago
Randburg, Gauteng, South Africa iSON Xperiences Full timeThe iSON Xperiences group is a leading provider of innovative solutions in the media and entertainment industry, with operations across multiple regions.We are seeking an experienced Claims Resolution Specialist to join our team in South Africa. The successful candidate will be responsible for determining the validity of claims and escalating them where...
-
Insurance Claims Consultant
1 month ago
Randburg, Gauteng, South Africa The Vine Partners Full timeWe are seeking a highly skilled and detail-oriented individual to join our Client's team as an Insurance Claims Consultant. This is an excellent opportunity for someone who thrives in a competitive environment and has exceptional interpersonal skills.Key Requirements:A strong academic background, particularly in Mathematics.Bachelor of Arts or Bachelor of...
-
Insurance Claims Consultant
3 months ago
Randburg, South Africa The Vine Partners Full timeWe are seeking a smart and detail-oriented individual to join our Client's team as an Insurance Claims Consultant. If you thrive in a competitive environment and have excellent people skills, this could be the perfect opportunity for you.Key Requirements:A-grade average in Matric, especially in Mathematics.BA or BCom Degree.Strong attention to...
-
Claims Handler
6 months ago
Randburg, South Africa FirstRand Full timeJob Description Dear Future, Claims Assessor II The role requires the following accurate assessment, investigation and validation of complex Short - Term insurance claims with a high value in accordance with the goals, objectives, processes and standards of the organisation in order to meet customer. These are for moto - claims. Are you someone who...
-
Claims Broker
6 months ago
Randburg, South Africa FirstRand Full timeJob Description Dear Future, Salvage Broker The role requires you to negotiate release fees, uplift salvage, request settlement documents from finance houses, receive and allocate salvage payments to the admin system. Maintain stock in bond, request original registration documents from finance houses to be handed over to salvage dealer. Are you someone...
-
Senior Claims Resolution Specialist
4 weeks ago
Randburg, Gauteng, South Africa iSON Xperiences Full timeThe MultiChoice Group is a multinational media and entertainment company headquartered in South Africa, Dubai, and the Netherlands. This leading organization operates across pay television, video entertainment, advertising, and content security.Key areas of operations include determining claim validity, applying policy and procedure when handling claims,...
-
Dear Future, Claims Broker
6 months ago
Randburg, South Africa FirstRand Full timeJob Description Dear Future, Claims Broker Accurate assessment, investigation and validation of complex long-term insurance claims with a high value in accordance with the goals, objectives, processes and standards of the organisation in order to meet customer. These claims may include funeral, death, disability, dread disease and retrenchment claims Are...
-
Claims Broker
7 months ago
Randburg, South Africa FirstRand Full timeJob Description To provide required services through effectively managing all aspects of insurance claims for customers by liaising with the relevant Insurance companies on the customers behalf within agreed service level agreements. - Demonstrate cost consciousness and awareness of personal contribution to costs and productivity - Identify and escalates...
-
Administrative Process Manager
4 weeks ago
Randburg, Gauteng, South Africa Kontak Recruitment Full timeAt Kontak Recruitment, we are seeking a dedicated Administrative Process Manager to join our team. This role is perfect for an individual who is passionate about managing administrative and operational processes related to part-time academic staff.The successful candidate will oversee onboarding, documentation management, and claims processing, ensuring...
-
Nurse Case Manager
3 months ago
Randburg, South Africa Africa and Worldwide Medical Assistance Company (PTY) Ltd Full timeWe are seeking a professional and experienced Nurse to join our team. The purpose of this role is to provide medical expertise and to contribute towards the successful delivery of the Company’s service output. The employee will do this by performing tasks and assuming responsibilities which may include hospital pre-authorization and claims, international...
-
Commercial Contract Manager
4 weeks ago
Randburg, Gauteng, South Africa The Icon Group Full timeThe Icon Group seeks a skilled Commercial Contract Manager to oversee the contractual and commercial aspects of our projects. As a key member of our team, you will be responsible for administering contracts from preparation to completion, ensuring timely delivery and maximum value for our clients.Key ResponsibilitiesContract Administration: Prepare and issue...
-
Randburg, Gauteng, South Africa Kontak Recruitment Full timeAt Kontak Recruitment, we are seeking a dedicated Administrative Process Manager to manage administrative and operational processes related to part-time academic staff. The successful candidate will oversee onboarding, documentation management, and claims processing in a fast-paced environment.About the RoleThis role acts as the main point of contact for...
-
Automotive Warranty and Costing Specialist
2 months ago
Randburg, Gauteng, South Africa MoToRecuit Full timeJob SummaryThe Warranty & Costing Clerk will be responsible for managing all warranty claims calculations, reconciliations, and submissions, as well as accurate job card costing. The ideal candidate will have experience in automotive warranty claim and job card costing, and be able to prepare, review, and submit warranty claims to the manufacturer in line...
-
Insurance Administrator
4 months ago
Randburg, South Africa Tracker South Africa Full time**Listing reference**: track_001273 **Listing status**: Online **Position summary**: **Industry**:IT & Internet**Job category**:Insurance Management and Administration**Location**:Randburg**Contract**:Permanent**Remuneration**:MARKET RELATED**EE position**:Yes**Introduction**: **Job description**: **Key roles and responsibilities**: - Servicing and...
-
KZA_Project Manager
2 months ago
Randburg, South Africa Krones Southern Africa (Pty) Ltd Full timeDivision Engineering Company Krones Southern Africa (Pty) Ltd Location Randburg, South Afrika Join as Professionals Worktime Full-time Krones Southern Africa is located in Lanseria, Johannesburg, and is a subsidiary of Krones AG in Neutraubling Germany, a major company internationally recognized as the world leader in the design and manufacturing of...
-
Payroll Manager
1 month ago
Randburg, South Africa Full Circle Selection Full timeWe are recruiting for an experienced Payroll manager for our client.Purpose of the job:Manage the payroll department to ensure accurate and timeous payment of salaries and wages.All death / disability / termination claims processed.Key relationships (internal & external):Internal – HR, Finance, Management, all staffExternal – SARS, Sage/VIP, RMA, WCA,...
-
Kza project Manager
3 months ago
Randburg, South Africa Krones Southern Africa (Pty) Ltd Full timeDivision- Engineering- Company- Krones Southern Africa (Pty) Ltd- Location- Randburg, South Afrika- Join as- Professionals- Worktime- Full-timeKrones Southern Africa is located in Lanseria, Johannesburg, and is a subsidiary of Krones AG in Neutraubling Germany, a major company internationally recognized as the world leader in the design and manufacturing of...