Health Claims Administrator

3 months ago


Johannesburg, South Africa Kaelo Full time

**Company Description** About Kaelo**
Kaelo provides essential healthcare solutions ensuring the physical and psychosocial wellbeing of all South Africans towards lasting social change. Kaelo meets the Healthcare needs of Corporate and Retail clients across South Africa - products offerings include Medical Insurance, Medical Aid, Gap Insurance, Kaelo Money and employee assistance programmes.

The Kaelo Health Claims Administrator is responsible for the management of all gap cover related tickets and correspondence. The responsible person captures all gap cover claims and corresponds with the membership base. This individual has knowledge of the gap claims environment. There is a strong focus on accurately and efficiently resolving the claim ticket received whilst ensuring effective communication and exceptional customer service and satisfaction.

**KEY OUTCOMES**

(not limited to) Level 4 and 5 process elements

The accurate and efficient capturing of claims received

Assist Kaelo clients with queries and provide suitable query resolution

Accurate completion of administrative targets on a daily basis

Dealing with multiple queries from Kaelo members and intermediaries

Ongoing feedback to clients

Management of all claim related mailboxes

Ad hoc functions as required by management

**SPECIAL REQUIREMENTS**

Good communication skills

Analytical ability

Time management

Team work

Customer focus

Data capturing experience
**Qualifications** PERSON DETAILS: WORK EXPERIENCE**

**REQUIRED**

Insurance industry experience

2-5 Years experience in claims handling

**PREFERRED**

Health Insurance industry

**EDUCATION: QUALIFICATIONS: ACCREDITATIONS WITH PROFESSIONAL BODY**

**REQUIRED**

FAIS

**REQUIRED**

Grade 12 - Matric

**PREFERRED**

RE5 certificate

**TECHNICAL SKILLS OR KNOWLEDGE**

**REQUIRED**

Computer literate, including Microsoft Access and Intermediate Excel Skills.

**PREFERRED**

Experience on MIP system
**Additional Information**
- **
Accountability**:

- ** Action orientated**:

- ** Collaborative**:

- ** Communication**:

- ** Business writing skills**:

- ** Manage complexity**:

- ** Problem solving skills**:

- ** Decision thinking**:

- ** Encourages engagement**:

- ** **Resilient and adaptive**:

- ** Resourceful**:

- ** Demonstrates self-awareness**:

- ** Purpose driven**:

- ** Significance and values orientated



  • Johannesburg, South Africa Kaelo Full time

    Company Description **About Kaelo** Kaelo provides essential healthcare solutions ensuring the physical and psychosocial wellbeing of all South Africans towards lasting social change. Kaelo meets the Healthcare needs of Corporate and Retail clients across South Africa - products offerings include Medical Insurance, Medical Aid, Gap Insurance, Kaelo Money and...

  • Claims Administrator

    7 months ago


    Johannesburg, South Africa National Risk Managers (Pty) Ltd Full time

    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...


  • Johannesburg, South Africa Pillango Placements Full time

    **Gauteng**, JHB - North** **R 16000 - R 17000 Monthly Cost To Company** We are looking for a **Medical Claims Administrator** for a big, amazing and an innovative company in the health tech space. The Purpose of the team that you will become part of, is to launch a service based solution which is driven by back of cutting edge healthtech, artificial...

  • Claims Administrator

    4 months ago


    Johannesburg, South Africa Cora O’Neil Recruitment Agency Full time

    **Job Overview**: **Date Posted**: Posted 3 days ago- **Location**: Johannesburg, Gauteng- **Job Title**: Claims Administrator- **Salary**: R25,000 - R30,000- **Education Level**: Certificate- **Job Level**: Intermediate- **Minimum Experience**: 3 - 5 Years**Claims Administrator (Liability Insurance) - Rosebank, Johannesburg.**: Manage claims as allocated,...

  • Claims Administrator

    8 months ago


    Johannesburg, South Africa RAD Resources Full time

    Opportunity for a at Johannesburg North Insurance Brokerage. Play a crucial role in restoring our clients to their pre-loss status. Be the driving force behind efficient claims management, ensuring adherence to the companies service standards and swift turnaround times. Make a difference by helping clients navigate the complexities of the claims process and...

  • Claims Administrator

    8 months ago


    Johannesburg, South Africa Rad Resources Full time

    Claims Administration (motor and non-motor) of the allocated portfolio.Motor claims General Administrative TasksTake all the relevant details when the client phones Check premium payment and cover immediately. If premium not paid or there is no cover, clarify with the A.E. or Member immediately before advising the client. Register claim on CIMS System upon...

  • Claims Administrator

    3 months ago


    Johannesburg, South Africa Zensar Technologies Full time

    Claims Administrator Johannesburg About Job: We are hiring a Claims Administrator to join our team. If you’re excited to be part of a winning team, Zensar is a great place to grow your career. You’ll be glad you make the right choice to join us. Advantage of Zensar Technologies We are a technology consulting and services company with 11, 800+...

  • Claims Administrator

    4 months ago


    Johannesburg, South Africa FirstRand Full time

    Job Description Provide efficient and effective administration support to ensure the smooth running of a functional area Hello Future Claims Administrator Welcome to FNB, the home of the #changeables. We design for the shapeshifters and deliver products and services that make us incredibly proud of people that make it happen. As part of our team in...

  • Claims Administrator

    3 months ago


    Johannesburg, South Africa FirstRand Full time

    Job Description To manage the claim from notification to completion as well as support the claims assessor in their core function and other internal and external customers Hello Future Administrator Welcome to FNB, the home of the #changeables. We design for the shapeshifters and deliver products and services that make us incredibly proud of people that...

  • Claims Administrator

    7 months ago


    Johannesburg, South Africa Auto Wheels Autobody Full time

    **Job description**: Future Motor Lease is a fast paced car rental company specializing in the Rent to Buy Market. We are looking for a hard working individual who will be in charge of the following. **Duties and responsibilities**: - Entering and updating information into relevant databases. - General Admin - Capturing Data for vehicles on Fleet. - Claims...

  • Claims Administrator

    3 months ago


    Johannesburg, South Africa FirstRand Full time

    Job Description Hello Future Claims Administrator Welcome to FNB, the home of the #changeables. We design for the shapeshifters and deliver products and services that make us incredibly proud of people that make it happen. As part of our team in FR Life Assurance you will be surrounded by unique talents, diverse minds, and an adaptable environment that...

  • Claims Administrator

    6 months ago


    Johannesburg, South Africa Sanlam Full time

    **Who are we?** Safrican is a respected life insurer with a footprint in SA and a subsidiary in Eswatini. Safrican has over 2 million principle lives covered and more than 7 million lives assured, the company has grown from strength to strength since 2004. **What will you do?** - Under general supervision and within company guidelines will research,...


  • Johannesburg, Gauteng, South Africa Nedbank Full time

    Job OverviewNedbank is seeking a highly skilled Claims Administrator Specialist to join our team in Johannesburg. This role involves providing claims administration support for short-term insurance matters, ensuring compliance with company strategy and regulations.About the RoleThis position requires a minimum of 3-4 years of experience in legal claims, with...


  • Johannesburg, South Africa Sanlam Full time

    **CAREER OPPORTUNITY** - Santam’s Claim department has a position available for an Administrative Clerk based in Hill on Empire, Johannesburg.**JOB DESCRIPTION** - The Admin clerk is responsible for the registration of new claims. This position entails ensuring accurate registration of claims within the agreed service level agreement and general...


  • Johannesburg, South Africa Health Solutions Full time

    **Introduction** - Momentum Health Solutions, an entity of Momentum Metropolitan Holdings delivers sustainable, integrated health solutions that meet the needs of clients in the different segments and maximise lifetime client value. We build and maintain a culture of innovation, and create value through unique insights of how to achieve specific outcomes by...


  • Johannesburg, Gauteng, South Africa Fidelity Services Group Full time

    Fidelity Services Group Job Description**Job Title:** Claims Administrator for CIT Operations**Location:** Gauteng, Johannesburg**Salary Estimate:** R250,000 - R350,000 per annumAbout the RoleWe are seeking a highly skilled and experienced Claims Administrator to join our team at Fidelity Services Group. The successful candidate will be responsible for...


  • Johannesburg, South Africa Motus Corporation Full time

    **Position Overview**: The purpose of the position is to ensure accurate investigation of claims, providing meaningful feedback, timeous invoicing and adherence to performance and customer service standards, this also includes weekly and monthly claims reporting. **Specific Role Responsibilities**: **Job Outputs**: - Receive and invoice damage and theft...

  • Claims Assessor

    7 months ago


    Johannesburg, South Africa Sanlam Full time

    MWL is dedicated to supporting, growing and empowering clients with affordable, simple, and suitable solutions, primarily through telephonic intermediary channels. We have approximately 100 tied sales agents, all dedicated to meeting the financial needs of our clients and prospective clients. MiWayLife’s vision is to establish a world-class direct...

  • Claims Administrator

    2 months ago


    Johannesburg, South Africa FirstRand Full time

    Job Description To manage the claim from notification to completion as well as support the claims assessor in their core function and other internal and external customers - Provide support to Claims assessors whilst ensuring accurate investigation and validation of simple claims - Contribute to teamwork and inclusivity within own team - Identify and...


  • Johannesburg, South Africa McCain Foods Limited Full time

    **Position Title**:Trade Spend Claims Administrator **Position Type**: Regular - Full-Time **Position Location**: Rosebank **Requisition ID**: 32209 Trade spend Administrator We are seeking a Trade Spend Administrator to join our team on a 6-month fixed term contract. This role is crucial for the timely and accurate processing of trade spend invoices....