Claims Administrator

Job Title: Claims AdministratorWe are seeking a skilled and detail-oriented Claims Administrator to join our team at HR Studio Ltd. As a key member of our claims processing team, you will be responsible for ensuring the timely and accurate processing of medical claims.**Job Description:**The successful candidate will have a strong understanding of medical...

**Business Unit**:Discovery Employee Benefits**Function**:Administration and Office Support**Date**:31 Oct 2024 - Achieve more than** **YOU BELIEVE** - Discovery Corporate & Employee Benefits- Claims Administrator**About Discovery** - Discovery’s core purpose is to make people healthier and to enhance and protect their lives. We seek out and invest in...

**Business Unit**:Discovery Employee Benefits**Function**:Claims Administration**Date**:4 Oct 2024 - Achieve more than** **YOU BELIEVE** - Discovery Corporate & Employee Benefits- Claims and Underwriting Administrator**About Discovery** - Discovery’s core purpose is to make people healthier and to enhance and protect their lives. We seek out and invest in...

**POSITION: Claims and Finance Administrator** **AREA: Sandton** We have a position available for an experienced Claims and finance administrator at a well-established company in Sandton. There are general administrative functions that accompany this role. - Dealing with account escalations. - Verifying client refunds requested by the team. - Allocations...

**POSITION: Claims and Finance Administrator** **AREA: Sandton** We have a position available for an experienced Claims and finance administrator at a well-established company in Sandton. There are general administrative functions that accompany this role. - Dealing with account escalations. - Verifying client refunds requested by the team. - Allocations...

Must have experience as a claim administrator, worked with insurance companiesBe-able to negotiate pricesWork well under pressureComputer literateGood communication skills and can think for themselvesBasic R12000.00 Pay: R10 000,00 - R12 000,00 per month **Experience**: - Administrative office procedures, practices and equipment: 1 year (preferred)

**EXEPERIENCE IN THE FINANCIAL SERVICES INDUSTRY/LIFE INSURANCE ESSENTIAL** - 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...

**Introduction** Processing of medical expense shortfall (gap cover) claims in accordance with stipulated service levels and in terms and conditions of cover as defined in policy wording. **Role Purpose** Processing of medical expense shortfall (gap cover) claims in accordance with stipulated service levels and in terms and conditions of cover as defined...

**Introduction** - Responsible for the oversight and monitoring of the Guardrisk Group claims management. Strategic and effective management of the technical aspect the claims operations within Guardrisk Group across all insurance lines. Review, direct, and provide accurate, reliable and sound legal and technical claims related support across the business...

**What will you do?** - We have an exciting opportunity for the Claims Specialist within SHA Risk Specialists.**What will make you successful in this role?** **Key responsibilities**: **Claims Practice Management**: - Attend and manage all aspects related to a portfolio of specialist claims such as claims registration, case management, drafting, diary,...

**Job Summary**: The Role as Claims Manager will be responsible for overseeing the administration and authorisations of claims of daily administrative operations and managing the insurance processes for client transactions for approvals of procedures through veterinary clinics. This role involves liaising with veterinary clinics addressing clients’ queries...

**EXPERIENCE IN THE FINANCIAL SERVICES/LIFE INSURANCE INDUSTRY ESSENTIAL** 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...

**What will you do?** - We have an exciting opportunity for a **Senior Claims Specialist: Motor** within **SHA Risk Specialists**.**What will make you successful in this role?** **Claims Portfolio** - Attend to all aspects related to a portfolio of claims e.g. new claims, current files, diary, mail, recoveries, third party claims, attorney matters,...

**Introduction** - Responsible for the coordinating the evaluation of the claims oversight and monitoring within the Technical Claims team and other stakeholders to ensure that all technical support functions are executed timely and in accurate manner. To support Technical Claims executive and Technical Claims Specialist with monitoring and tracking the...

**Business Unit**:Vitality Life**Function**:Claims Administration**Date**:11 Oct 2024Discovery - VitalityLife - Claims Assessor - Specialist - 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...

**Introduction**Disclaimer** - As an applicant, please verify the legitimacy of this job advert on our company career page.**Role Purpose** - Reporting for the Death Claims Committee and admin related issues to ensure that death claims are paid within the Service Level Agreement.**Requirements**: **Experience and Qualifications: - Matric. - Certificate of...

**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...

We’re looking for… A Provider Contracting and Negotiating Specialist who will be responsible for working on behalf of the client to negotiate their out of network claims when applicable. You will work directly with out of network providers to work out a single case agreement/fee or direct contract for submitted medical claims. Who are you? - You can...

**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...

We are seeking a highly skilled Medical Claims Negotiator to join our team at HR Studio Ltd. As a key member of our healthcare industry team, you will play a crucial role in negotiating medical claims on behalf of our clients.The ideal candidate will have excellent communication and negotiation skills, with the ability to work effectively with out-of-network...