Il Claims Support

1 week ago


Pretoria, South Africa Palesa Mbali Group Full time

**Responsibilities**:

- Prepare spreadsheet of policies required and collate all claims for auditors
- Liaise with Branches on audit reviews and dates
- Monitor the claims registers and prepare branch audits documents
- Consolidate branch audits reports
- Compile and analyze all reporting for management relating to claims activities.
- Do payment of all medical reports from the hospital, GP’s and Specialist
- Sharing of documentation with other insurance company on the risk carried
- Book meetings on behalf of Senior Manager
- Compile Management reports
- Compile monthly individual statistics (claims finalized, unclaimed benefits, near loss, incorrect payments, complaints received and fraudulent claims)
- Liaise with Forensic Investigations department on fraudulent claims referred
- Maintain claims drive

**Requirements**:

- Matric
- Diploma: Business Administration
- Reporting experience (Excel, PowerPoint)
- Power BI (advantage)


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