Claims Payment Quality Control E

About us, purpose, experience and qualifications **about us**: - make a promise - be deeply invested - value our differences - build trust, not territory - have courage - always do the right thing **purpose**: - Responsible for Controller receipting, workflow distribution and ensuring that Service Level Agreements and time frames are met.**experience and...

About us, purpose, experience and qualifications **about us**: - make a promise - be deeply invested - value our differences - build trust, not territory - have courage - always do the right thing **purpose**: Responsible for Controller receipting, workflow distribution and ensuring that Service Level Agreements and time frames are met. **experience and...

PURPOSE OF THE POSITION AND KEY RESPONSIBILITIES: The purpose of this position is to ensure that the relationship between the Company and its panel attorneys is not Compromised by ensuring and managing the accurate & prompt taxation and payment of bills in accordance with the provisions of the Scorpion Legal Protection Policy Document, Scorpion Schedule of...

Senior Quality Control ProfessionalAbout the Job:We are seeking a Senior Quality Control Professional to join our team at E&D Recruiters. As a Senior Quality Control Professional, you will be responsible for overseeing the quality control function and ensuring that all products meet the required standards.Key Responsibilities:Develop and implement quality...

Ensure that payment process is in line with legislation (Approved benefit / Unapproved benefit - nomination of beneficiary form or estate late payment) - Ensure all claims communication is clear, acknowledgement done within 24hrs and that clients/claimants are kept up to date during the claims process - Ensures that standards are maintained in accordance...

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**: -...

**Randburg** **Purpose of the Job** To process and negotiate claims in the Claims department. **Job responsibilities (include but not limited to)** Maintain Best Practices at all times. Identify problems/contentious/large claims and report to Claims Manager Identify potential E&O exposure and notification to Claims Manager Ability to negotiate with...

Sheet Metal Quality Control ManagerE&D Recruiters is seeking a highly skilled Sheet Metal Quality Control Manager to join our team. As a Sheet Metal Quality Control Manager, you will be responsible for ensuring that our sheet metal products meet the highest quality standards.Key Responsibilities:Develop and implement quality control processes to ensure...

**_Job Summary:_** Supervise the claims management staff and all insurance and claims related administrative matters and capturing of all relevant information relating to all loss claims (insurable and uninsurable) Ensure that all short term insurance claims are dealt with in accordance with prescribed insurance policies. Ensure adherence to company policy...

**Randburg** **Purpose of the Job** To process and negotiate claims in the Claims department. **Job responsibilities (include but not limited to)** Maintain Best Practices at all times. Identify problems/contentious/large claims and report to Claims Manager Identify potential E&O exposure and notification to Claims Manager Ability to negotiate with...

Administration of withdrawal/retrenchment savings claims. Assessment of documents in line with company standards and procedures Corresponding with members or employers via mail, e-mail, electronically or telephonically Calculating benefits payable Completing and submitting necessary statistical reports Customer queries relating to benefits and general...

**Purpose of this role**: The purpose of this role is responsible to drive the formulation and implementation of the risk model and underwriting philosophy, analyse claims and other data when assessing claims. Providing feedback on all claims, liaising with relevant stakeholders, and utilise their skills, knowledge and experience to make appropriate and...

**Job Number** - 69008 **Job Type** - Permanent **Job Title** - Payment Clerk **Computer Skills** - Intermediate Excel,Intermediate MS Word **Industry** - Service **City** - Johannesburg **Province** - Gauteng CONDENSED LIST OF DUTIES: - Payment of various claims (Withdrawal, Retrenchment - Workflow, Retirement, Death - and Monthly Pensioners).-...

There is a Position available in Johannesburg for an experienced Payment Controller. Expected duties: Collect invoices and supporting documentations from LSPs or related department. Review all invoices against approved quotations. Communicate with LSPs if any further documentation is needed. Communicate with LSPs regarding errors and queries. Ensure all...

Job Summary:We are looking for an experienced Creditors Clerk to join our team. The successful candidate will be responsible for managing supplier payments, reconciliations, and maintaining accurate records.Main Responsibilities:Manage and reconcile supplier invoices, payments, and statementsProcess and track payments for suppliers, ensuring timely...

An authorised financial service provider, operating within the long-term insurance industry in South Africa, requires the services of a **Claims Approver.** This is a 12-month fixed term contract. **Tasks and responsibilities will include but not be limited to**: **Key Responsibilities**: - (The primary tasks, functions and deliverables of the role)_ -...

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...

E-Merge Overview">E-Merge is a leading financial institution committed to providing innovative financial solutions.We are seeking an experienced System Analyst to join our team in Johannesburg and contribute to the success of our company.Job Description">The successful candidate will be responsible for:Leading system analysis and design efforts to convert...

The Claims Operations Manager - South Africa, will report to the EMEA Head of Claims Operations with a matrix to the South Africa Head of Claims. This role will be responsible for claims governance & compliance, process optimization & continuous improvement, strategic execution, project delivery, claims system initiatives and where required, coordinate with...

Join Our Exclusive Talent Pool! We believe in nurturing talent and providing a platform for growth. As we expand our horizons, we are building a talent pool of passionate Claims Administrators who share our commitment to excellence. **Job Summary** Administer payments of Health claims **Key Responsible Areas** - Process hospital admission and related...