Complex Claims Manager

**Main purpose of the job** Provides support to clients relating to claims and claim queries. Project a professional company image through customer/provider interaction. **Claims Capturing** - Accurate capturing of claims (80 claims per day minimum) - Scanning and filing of paper claims - Answer calls and resolve claim queries within determined SLA -...

**Main purpose of the Job** **Provide support to clients relating to claims and claims queries by accurately capturing and assessing claims including in-hospital related events. Educate and resolve client queries to ensure a world class customer experience is provided with all client interaction.** **Claims handling** - Timeous and accurate capturing of...

**Business Unit**:Vitality Life**Function**:Claims Administration**Date**:11-Jan-2023**Discovery - VitalityLife** **Claims Assessor** About Discovery VitalityLife - Discovery’s core purpose is to make people healthier and to enhance and protect their lives. We seek out and invest in exceptional individuals who understand and support our core purpose, and...

**Introduction** **Role Purpose** **Requirements**: - Matric /Grade 12 - Relevant Insurance Experience (Overall Insurance knowledge) - LLB Advantageous - Certificate in Insurance Advantageous (NQF 5) - At least 5 years short term claims experience in a senior role **Duties & Responsibilities** - Review and monitoring of large loss claims from UMA’s and...

**Introduction** To attend to day to day motor claims handling across various products and to provide supervisory oversight over a defined area. **Role Purpose** To attend to day to day motor claims handling across various products and to provide supervisory oversight over a defined area. **Requirements**: - Matric - Computer Literacy(MS Word, Outlook...

**Legal Commercial/ Claim Manager** **Sandton - Gauteng r** **Contract Position (Year on Year)** **Summary** **Contract Position - 12 Months** As a Legal Commercial / Claim Manager, you will be required to manage EPC construction claims identification, avoidance, defence, and prosecution. - Manage all legal matters on the Project. - To be a single point...

Responsibilities and work outputs Contribute to the ongoing enhancement and execution of the claims assessment methodology across Critical Illness, Income Protection and Lump Sum Disability benefit lines.Approves or declines claim submissions without supervision within company guidelines.Selects and accepts major risks on behalf of the company, evaluating...

**Introduction** Responsible for the registering, processing and assessment of claims in terms of recoverability under the policy and all other administration of engineering insurance claims and to validate claims against the policy including checking for any potential fraudulent activity. **Role Purpose** Responsible for the registering, processing and...

**Introduction** Audit and monitor Binder Agreements as per audit programme. **Role Purpose** Audit and monitor Binder Agreements as per audit programme. **Requirements**: - Matric - FAIS compliant - An insurance/ relevant qualification - At least 5-10 years relevant working experience, with some supervisory functions - A comprehensive understanding of...

**POSITION PURPOSE** Provide an efficient and professional Claims service to customers through prompt and fair settlement of Claims within mandate and contribute to business development and retention through positioning Claims and Claims service as an AIG product. **ESSENTIAL FUNCTIONS AND BASIC DUTIES** **Claims Administration** - Register the Claim...

**Position available: Admin Manager** **Costing** - Job card costing - Warranty costing - On line claims - Loading auth - Fille submission - Claim submitting - Claim rejections on Auto Line - Claim rejection on BMW SA - Recon - weekly payment - Recon - resubmissions on rejected claims - Recon - report on wright offs - Opening and closing of sublet - payment...

**Introduction**Role Purpose** - Effective execution of retirement fund administration in line with business, legislative and industry requirements; there by improving the overall client experience.**Requirements**: - Grade 12 - 6-8 Years' Employee Benefits experience - Knowledge and understanding of Life Insurance products and services and Industry...

Our client, a renowned Corporate Insurance Firm, is on the lookout for a Strategic Account Manager to drive business growth within the Commercial Insurance Sector.Your role as the strategic account manager is to provide specialised information and services in the area of specialisation to a portfolio of clients.Key Areas of Responsibilities:Responsible for...

**Business Unit**:Discovery Employee Benefits**Function**:Clinical**Date**:23 Aug 2023Achieve more than - *** **YOU BELIEVE** - Discovery Employee Benefits Case Management Consultant - **About Discovery** - Discovery’s core purpose is to make people healthier and to enhance and protect their lives. We seek out and invest in exceptional individuals who...

**Introduction** Guardrisk is the largest specialist cell captive insurance group of its kind and the leading alternative risk transfer provider in South Africa, comprising a non-life insurer, life insurer and a micro insurer. Guardrisk pioneered the cell captive concept, has a multinational footprint and is an affiliate of the Momentum Metropolitan...

**What will you do?** - We have an exciting opportunity available for a Liability Underwriter within our SHA division.**What will make you successful in this role?** **Key responsibilities include**: **Underwriting** - Underwrite and manage a portfolio of existing and new business, which may be complex in nature, including all tasks associated therewith but...

2023-11-09 - 2023-11-30 - Permanent - JHB002863 - Property- Gauteng, Sandton - Annually Cost To Company (Market related, Negotiable)- To manage a building / cluster of buildings by optimising the building's income stream by establishing and maintaining mutually beneficial relationships with tenants, manage and control personnel, service contractors, repairs,...

Costing - Job card costing - Warranty costing - On line claims - Loading auth - Fille submission - Claim submitting - Claim rejections on Auto Line - Claim rejection on Company Site - Recon - weekly payment - Recon - resubmissions on rejected claims - Recon - report on wright offs - Opening and closing of sublet - payment to accounting - Parts retune...

**What will you do?** - We have an exciting opportunity for an Underwriter: Single Projects & Construction within SHA.**What will make you successful in this role?** **Key responsibilities include**: **Underwriting** - Underwrite and manage a portfolio of existing and new business, which may be complex in nature, including all tasks associated therewith but...

**Business Unit**:Discovery Life**Function**:Case Management**Date**:1 Feb 2024- Discovery - Discovery Life Case Management Consultant**About Discovery** - Discovery’s core purpose is to make people healthier and to enhance and protect their lives. We seek out and invest in exceptional individuals who understand and support our core purpose, and whose own...