Claims Operational Manager

CLC is looking for Claims Operational Manager to provide CLC as a business and the Claims Own Damage department with the necessary management and support in performing the claims processing duties within the SLA’s stipulated. This includes all claims processes and tasks as well as all communication relating to matters that impact all...

**Insurance ~ Risk Management** **Centurion** ***: **Position: Senior Manager: Claims Assurance - Centurion** **Location: Centurion** **Salary: R1,371,054.00pa CTC** **Overview**: **The Senior Manager: Claims Assurance** is responsible to over the provision of claims assurance function to ensure that company is protected from financial loss; reduction in...

Closing Date2023/03/20Reference NumberMMH230301-6Job TitleClaims AssessorPosition TypePermanentRole FamilyClient ServicesClusterHealth SolutionsRemote OpportunitySome of the timeLocation - CountrySouth AfricaLocation - ProvinceGautengLocation - Town / CityCenturionIntroduction Metropolitan is one of the oldest financial services brands in South Africa. With...

**Job Purpose** Responsible to assist with the daily running and management of the Division through the effective use of resources. Ensuring that SLA’s are met per Binder Agreements. The purpose is the effective management of claims consultants. Ensure efficient service levels to internal and external clients by providing customer service and preparing...

**Introduction**Role Purpose** - To be part of a team that provides market leading claims assessment capability for living benefits (critical illness, income and disability benefits). This will include specialising in income disability, lump sum disability,critical illness and case management for living benefits, the completion of quality industry...

**Introduction** Momentum Health Solutions, anentity of MomentumMetropolitan Holdings deliverssustainable, integrated healthsolutions that meet the needs ofclients in the different segmentsand maximise lifetime clientvalue. We build and maintain aculture of innovation, and createvalue through unique insights ofhow to achieve specificoutcomes by using a...

**Job description** The Claims Consultant is responsible for coordinating and overseeing, managing and negotiating the settlement of the claim. The consultant is accountable for finalising the claim end-to-end and must have knowledge of Commercial and Personal lines products and be able to process motor as well as non-motor claims **Responsibilities**: -...

**Introduction** **Role Purpose** The purpose of this position is to determine the merit of segmented motor and non-motor claims by performing investigations, verifying the description of the event with the loss and make sure that all valid claims are being processed within SLA from the desk. You would also need to identify problematic claims (red flags)...

**Gauteng**, Centurion** **R12'000.00 - R15'000.00 (Negotiable)** We are recruiting for a dynamic VAPS Claims Consultant to join our Claims Team. The main job purpose is the effective handling and settlement of VAPS claims while ensuring efficient service levels to internal and external clients. These duties include accurate reserving of claims, reviewing...

**Gauteng**, Centurion** **R12'000.00 - R15'000.00 Monthly (Negotiable)** We are recruiting for a dynamic VAPS Claims Consultant to join our Short-Term Insurance Claims Team. The VAPS Claims Consultant will mainly be responsible for effective claims handling and settlement of VAPS claims while ensuring efficient service levels to internal and external...

**Gauteng**, Centurion** **R 10000 (Negotiable)** CLC is based in Centurion, Gauteng, and operates mostly within the Short-Term Insurance Industry. CLC is a dynamic and forward-thinking company committed to delivering excellence. As a leader in our field, we pride ourselves on innovation, professionalism, and a commitment to our clients' success. We are...

CLC is based in Centurion, Gauteng, and operates mostly within the Short-Term Insurance Industry. CLC is a dynamic and forward-thinking company committed to delivering excellence. As a leader in our field, we pride ourselves on innovation, professionalism, and a commitment to our clients' success.We are seeking Afrikaans speaking Incident Management...

**Job Advert Summary**: **Minimum Requirements**: - A minimum of Grade 12 - A minimum of 6 years’ experience in medical scheme claims administration - 5 years’ knowledge of the medical aid industry, regulations, RPL, ISO and other related legislation - 1 year knowledge of coding systems (RPL, ICD) - 1 year experience in Keyhealth and Profmed Scheme...

**Introduction** Through our client-facing brands Metropolitan and Momentum, with Multiply (wellness and rewards programme), and our other specialist brands, including Guardrisk and Eris Property Group, the group enables business and people from all walks of life to achieve their financial goals and life aspirations. **Role Purpose** To contribute to the...

**Introduction** Through our client-facing brands Metropolitan and Momentum, with Multiply (wellness and rewards programme), and our other specialist brands, including Guardrisk and Eris Property Group, the group enables business and people from all walks of life to achieve their financial goals and life aspirations. **Role Purpose** To contribute to the...

**Gauteng**, Centurion** **Monthly (Momentum Umbrella Fund: Death Benefit, Funeral Cover Benefit, Lump Sum Disability Benefit, Critical, Market related)** We are looking for a dynamic Third-Party Recovery Claims Consultant to joint our Recoveries team. The main purpose of the position is to take full responsibility over third party recovery claims while...

**Job Purpose**: As a Financial Manager, you will be responsible for overseeing and managing all financial aspects of the company. This includes handling day-to-day financial operations, managing the finance department and its staff, implementing and maintaining effective financial controls and processes, preparing and analyzing financial reports, and...

**Job Purpose**:This role is responsible for the assessment of all claims received from the Branches and assist with branch enquiries. To resolve all claim/ quality related queries. **Qualifications and or Experience**: - Grade 12 (Mathematics) - Technical and/ or Mechanical Training / Qualification (Diesel and or Petrol) - 2 - 3 years’ experience in...

Gauteng, Centurion - Annually Cost To Company (Market related) A well-established financial services business is seeking to appoint a Senior Manager: Claims Assurance. **Qualifications**: - Bachelor’s Degree in Law or equivalent. - Postgraduate in Law related qualification. - Admission as an Attorney of the High Court or Advocate. **Experience**: -...

**Introduction** **Role Purpose** Provide a support service to the claims department by liaising with clients/stakeholders and providing solutions. **Requirements**: Matric. Business related Diploma/Degree. 2-3 years exposure to the Life Insurance industry. Call Centre knowledge. Medical terminology preferred. **Duties & Responsibilities** Provide...