Administrative Officer: Claims Assessor
4 months ago
Centre: Kempton Park, stationed at Delta Heights (Pretoria) Ref No:
HR 4/4/08/09 (X1 Post)
Labour Centre: Germiston, stationed at Delta Heights (Pretoria) Ref No: HR 4/4/08/10 (X1 Post)
**REQUIREMENTS**:
Three-year tertiary qualification in Public Management/ Public Administration/
Business Management/ Business Administration/Administrative Management/ Management/ Financial Accounting/ Cost and Management Accounting/ Operations Management / Production Management/ Auditing/ HRM / Nursing. One-year functional experience in claims/ medical processing environment. Knowledge: Relevant Compensation Fund policies, procedures and business process, Public Service Act and Regulations, Customer Service (Batho Pele Principles, COID tariffs, Public Service Charter, Approved COID Delegation, Promotion of Access to Information Act, Road Accident Fund (RAF) Act PFMA and Treasury Regulations, The Constitution of RSA, COID, Occupational Health and Safety Act (OHS), Skills: Planning and organising, problem solving, analytical, decision making, communication (written and verbal) computer literacy, good client relations, interpersonal relationship, data and records management.
**DUTIES**: Adjudicate registered claims as per delegations' requirements. Prepare
complex claims. Coordinate, capture and approve compensation benefits. Handle claims enquiries and advocacy sessions. Supervision of staff.
**ENQUIRIES**: Dr V Mabudusha Tel No: (012) 319 1933
**APPLICATIONS**: Chief Director: Provincial Operations: PO Box 4560, Johannesburg, 2001 or
**CLOSING** **DATE**: 06 September 2024 at 16:00 (walk-in) and 00:00 midnight (online)
-
Claims Assessor
6 months ago
Pretoria, South Africa Qetello Holdings Full timeAbout Our Client: Our client is a leading medical scheme based in Pretoria, dedicated to providing comprehensive healthcare benefits to its members. They are committed to innovation, quality service, and the well-being of their clients. In line with their growth and commitment to excellence, they are seeking a dedicated and experienced Claims Assessor to...
-
Medical Aid Claims Assessor
6 months ago
Pretoria, South Africa Medpharm Recruitment Full timeA reputable Medical Aid is seeking an experienced Medical Aid Claims Assessor to join their HBM team in Pretoria. (Office based) **Requirements**: - Grade 12 - Staff/Enrolled or Registered Nurse (SANC) - Minimum 5 years’ experience as a Nursing Practitioner - Minimum 1 year experience gained in the medical funding industry - 1 year Medical Aid claims...
-
Senior Motor Claim Assessor X3
2 weeks ago
Pretoria, Gauteng, South Africa Santam Insurance Full timeJob Title: Senior Motor Claim Assessor X3 Job Summary:In this role, you will be responsible for determining the quantum and merit of segmented motor claims by performing investigations, verifying the description of the event with the loss, negotiating with clients, intermediaries, and service providers, and settling claims within a delegated threshold and...
-
Claims Consultant
2 weeks ago
Pretoria, South Africa PSG Konsult Full timeThe Claims Consultant will be responsible to provide administrative assistance and support on commercial claims business. **Responsibilities**: - Liaising and providing feedback to clients of commercial claim progress - Handling client queries - Claims Management: the daily claims process from capturing received claims to processing and closing commercial...
-
Database Administration Assessor
4 weeks ago
Pretoria, Gauteng, South Africa CTU Career Chatz Full timeJob Title: Database Administration AssessorWe are seeking an experienced and registered assessor to join our team at CTU Career Chatz.Estimated Salary: R450,000 - R550,000 per annum (dependent on experience)About the RoleThis is a unique opportunity for a skilled professional to work as a registered assessor in database administration. As a key member of our...
-
Commercial Claims Consultant
6 months ago
Pretoria, South Africa PSG Konsult Full time**Job description**: The Claims Consultant will be responsible to provide administrative assistance and support in line with commercial lines insurance. **Responsibilities**: - Client face to face meetings - Liaising and providing feedback to clients of claim progress. - Handling client queries - Claims Management: the daily claims process from capturing...
-
Database Administrator and Assessor
1 month ago
Pretoria, Gauteng, South Africa CTU Career Chatz Full timeJob Title: Registered AssessorJob Summary:We are seeking a skilled Registered Assessor to join our team at CTU Career Chatz. As a key member of our assessment team, you will be responsible for assessing learner portfolios, compiling assessor reports, and continuously evaluating learner evidence.Key Responsibilities:Assess learner portfolios to ensure...
-
Claims Administrator
6 months ago
Pretoria, South Africa Sit2Mat Financial Services Full time**Responsibilities**: - Receive and review insurance claims forms, ensuring all necessary information is complete and accurate within SLA, so that there are no delays. - Enter claim information into the company's database or claims management system accurately and promptly. - Following up on all outstanding claim documents. - Answering calls, and logging...
-
Claims Administrator
2 months ago
Pretoria, Gauteng, South Africa Numeral XII (Pty) Ltd. Full timeJob Title: Claims AdministratorWe are seeking a highly organized and detail-oriented Claims Administrator to join our team at Numeral XII (Pty) Ltd.Job Summary:The successful candidate will be responsible for ensuring that client claims are captured correctly within SLA, following up on outstanding claim documents, and providing accurate notes on all...
-
Motor Claims Service Consultant JG10
4 weeks ago
Pretoria, South Africa Sanlam Limited Full timeSantam’s Motor Claims (North Region: Gauteng, North West, Limpopo, Mpumalanga, KwaZulu Natal) has a position available for a Motor Tow Claims Service Consultant, that will be based in Pretoria. JOB DESCRIPTION The purpose of this position is to process all the allocated Motor Claims and make them ready for an assessor to be appointed. The CSC will be...
-
Cpd Administrator
7 days ago
Pretoria, South Africa SACPCMP Full timeRole description Process CPD uploads of registered persons on the Council’s registration platform in line with the relevant SOP. Document CPD assessor claims. Maintain good relationships with CPD service providers through regular communication. Maintain and safeguard department records properly for audit and record-keeping purposes. Ensure that CPD...
-
Motor Claims Service Consultant Jg10
1 month ago
Pretoria, South Africa Sanlam Full timeCAREER OPPORTUNITY- Santam’s Motor Claims (North Region: Gauteng, North West, Limpopo, Mpumalanga, KwaZulu Natal) has a position available for a Motor Tow Claims Service Consultant, that will be based in Pretoria.The purpose of this position is to process all the allocated Motor Claims and make them ready for an assessor to be appointed. The CSC will be...
-
Medical Aids Claims Administrator
6 months ago
Pretoria, South Africa Recruitforce Group Full timeOur client, a proudly South Africa-owned Audiology hearing healthcare company with a national footprint has a position open for a Medical Aids Claims Administrator in Pretoria East. Role Description This is a full-time, office-based position. The individual will be responsible for administrating claims and authorisations from Medical Aids. Qualifications...
-
Medical Aids Claims Administrator
6 months ago
Pretoria, South Africa Recruitforce Group Full timeOur client, a proudly South Africa-owned Audiology hearing healthcare company with a national footprint has a position open for a Medical Aids Claims Administrator in Pretoria East. **Role Description** This is a full-time, office-based position. The individual will be responsible for administrating claims and authorisations from Medical Aids....
-
Claims Administrator
6 months ago
Pretoria, South Africa Status Asset Management Full timePosition: Claims Administrator Location: Pretoria Do you have an unwavering attention to detail and the ability to ensure insurance claims are captured correctly within SLA? Do you have a passion for building relationships with insurers and providers to ascertain that the claim process is smooth, and payment is made promptly? Raise your hand...
-
Claims Assessor
6 months ago
Pretoria, South Africa Medpharm Recruitment Full timeThe purpose of this position is to ensure that all claims are assessed using the appropriate rules and is paid correctly in line with the Scheme's benefit and tariff structures. **Duties**: - Assessing and processing Medical Aid claims - **Quality**:Measuring of individual error rate to ensure no costs incurred due to assessing errors made. -...
-
Motor Claims Service Consultant JG10
1 month ago
Pretoria, South Africa Sanlam Full timeCAREER OPPORTUNITY Santam’s Motor Claims (North Region: Gauteng, North West, Limpopo, Mpumalanga, Kwa Zulu Natal) has a position available for a Motor Tow Claims Service Consultant, that will be based in Pretoria. JOB DESCRIPTION The purpose of this position is to process all the allocated Motor Claims and make them ready for an assessor to be appointed....
-
Claims Administrator
1 month ago
Pretoria, Gauteng, South Africa Numeral XII (Pty) Ltd. Full timeWe are seeking a skilled Claims Administrator to join our team at Numeral XII (Pty) Ltd. as a Claims Administrator. This role will be responsible for ensuring that client claims are captured correctly within SLA, maintaining accurate records, and performing various administrative tasks.Responsibilities:Ensuring that client claims are processed accurately...
-
Claims and Broker Administrator
6 months ago
Pretoria, South Africa SydSen Recruit Full timeGauteng, Pretoria East Claims and Broker Administrator - Tshwane - Pretoria East Our Insurance Broker client is looking for an **Claims and Broker Administrator** to join their company, based in **Pretoria East.** **Overview**: **Responsibilities and knowledge**: - To open all claims in a prompt efficient manner - To administer claims accurately and...
-
Non Motor Field Assessor
6 months ago
Pretoria, South Africa Sanlam Full timeCAREER OPPORTUNITY- This career opportunity is available at Non-Motor region and the successful incumbent will be based in Centurion**WHAT WILL YOU DO?**WHAT WILL MAKE YOU SUCCESSFUL IN THE ROLE?** - Receiving instruction from Claims Service Consultant (appraisal notes & docs). - Checking completion and correctness of document and policy conditions. -...