Gap Claims Assessor
2 weeks ago
Our client is seeking an experienced Gap Claims Assessor.
**Requirements**:
- Applicants must have a thorough understanding of medical aid operations or insurance policy administration and operations.
- Matric.
**Responsibilities**:
To check and validate all GAP claim documents received and to request any outstanding documents.
To follow the claims process and capture the claim information into the system.
To verify and update any client personal information changes on the system policy record
To assess the validity of the claim following the terms and conditions of the clients' policy document and to make the relevant claim notes on the system.
To meet your daily minimum claim targets with a high level of accuracy and within service turnaround time.
To maintain and update your daily workflow tasks and queue.
To ensure high priority and escalated claims as identified by management are processed within 2 hours.
Interacting with medical aids, hospitals and medical practitioners regarding medical history and accounts required relevant to assessing the claim.
Other administration-related functions.
**Salary**:
R16 000 -R19 000
**Disclaimer**:
**Michelle
-
GAP Claims Assessor
Found in: Talent ZA C2 - 2 weeks ago
Cape Town, South Africa Status Staffing Full timeOur Client in Claremont is looking to employ a GAP Claims Assessor with Medical Aid claims processing and administration / insurance industry experience to join their teamA recent professional profile photo is to accompany your applicationEMPLOYMENT TYPE : PermanentSECTOR : ...
-
Gap Claims assessor
Found in: Adzuna ZA B C2 - 2 weeks ago
Cape Town, South Africa Adzuna ZA B C2 Full timeRequirements: Applicants must have a thorough understanding of medical aid operations or insurance policy administration and operations.Matric.Responsibilities: To check and validate all GAP claim documents received and to request any outstanding documents. To follow the claims process and capture the claim information into the system. To verify and update...
-
Claims Assessor
2 weeks ago
Cape Town, South Africa JenRecruitment Full timeA vacancy exists for a Claims Assessor in our Gap Claims Assessing Department. (Claremont Cape Town) **Job description & duties**: - To check and validate all GAP claim documents received and to request any outstanding documents - To follow the claims process and capture the claim information onto the system - To verify and update any client personal...
-
Claims Assessor
3 days ago
Cape Town, South Africa JenRecruitment Full timeA vacancy exists for a Claims Assessor in our Gap Claims Assessing Department. **Job description & duties**: - To check and validate all GAP claim documents received and to request any outstanding documents - To follow the claims process and capture the claim information onto the system - To verify and update any client personal information changes on the...
-
GAP Claims Assessor
Found in: Talent ZA 2A C2 - 2 weeks ago
Cape Town, South Africa Status Staffing Full timeA recent professional profile photo is to accompany your applicationEMPLOYMENT TYPE : PermanentSECTOR : FinanceBASIC SALARY : R16,000START DATE : A.S.A.P / ImmediateREQUIREMENTS:2 years experience in a similar roleInsurance industry experience (essential)Medical Aid...
-
Senior Claims Assessor
Found in: Talent ZA C2 - 3 days ago
Cape Town, South Africa Old Mutual Full timeDescription & Key Result Areas: Coaching Provide guidance and mentorship to junior claims assessors Personal Effectiveness Accountable for managing own time effectively to meet service delivery needs Prioritise tasks and ensure high-quality output Makes increased contributions by broadening individual skills Collaborates effectively with...
-
Senior Underwriter
Found in: Talent ZA C2 - 7 days ago
Cape Town, South Africa Old Mutual Full timeDescription Role Overview Use your specialist technical medical knowledge to assess risk for business and/or specific products. Uses specialist technical knowledge to evaluate and manage the validity of contracts and determine and manage the liability of claims (Assessor). Determines, selects and accepts risk and/or liability on behalf of the...
-
Claims Administrator
21 hours ago
Cape Town, South Africa PSG Insure Full time**Job description**: The Claims Administrator is responsible for coordinating and overseeing, managing, negotiating settlement of the claim and is accountable for the finalisation of the claim end-to-end. **Responsibilities**: - Register claims and appoint assessors - Manage claims in terms of claims SLA - Make decision regarding merit - indemnify or not -...
-
Claims Assessor
Found in: Talent ZA C2 - 3 days ago
Cape Town, South Africa Old Mutual Full timeDescription This role uses specialist technical knowledge to assess risk for the business and/or specific products. This role is for a dynamic individual with a willingness to learn and be part of a specialised claims assessing team. Uses specialist technical knowledge to evaluate and manage the validity of contracts and determine and manage the...
-
Claims Assessor: Non Motor
Found in: Talent ZA C2 - 2 weeks ago
Cape Town, South Africa Old Mutual Full timeDescription Old Mutual Insure is looking for a forward-thinking , driven Claim Assessors in Cape Town and George . The role will effectively investigate, adjust and report on assigned claims, thus ensuring containment of all Non Motor claims spend on providing excellent service in setting a culture of best practice within mandated responsibility You...
-
Claims and Customer Care Consultant
21 hours ago
Cape Town, South Africa Job Crystal Full time**SPECIFICATION** A global InsureTech business is looking for a Claims and Customer Care to join their AU and NZ Team, but the position will be SA based (Working hours are 00h30 to 09h30) The business provides an end-to-end service where they facilitate the whole process from contacting the client to gathering information/evidence, reviewing and validating...
-
Quality Assessor
3 days ago
Cape Town, South Africa Health Solutions Full time**Introduction**Role Purpose** - This role offers exciting and challenging opportunities and is aimed at a dynamic, performance-orientated, knowledgeable, and experienced individual who can deliver quality outputs in a high deadline and client-orientated environment. You will be required to work well within a team as well as on your own. An exciting...
-
Insurance Uk Claims Agents
3 days ago
Cape Town, South Africa Surgo HR & Training Full timeCalling all Cycling enthusiasts, w ith a passion for sales! Do you enjoy the outdoors? Are you an active person? Is Cycling your passion? **Purpose**: We are cyclists in the insurance industry. Our specialty is getting our fellow cyclists back in the saddle after an unfortunate event happens. We have thirteen years of experience when it comes to...
-
Assessor Night Shift
21 hours ago
Cape Town, South Africa Telesure Investment Holdings Full timeJOB PURPOSE Support the claims handling philosophy and supply strategy by mitigating risk of vehicle spend (quantification, identification and validation of vehicle). All services are delivered against agreed service and functional standard. RESPONSIBILITIES Operations Management Carry out operational tasks by following established processes. This will...
-
Loss Adjuster
6 days ago
Cape Town, South Africa Nedbank Full time**Job Classification** - X2 Positions- Based in Cape Town and Johannesburg- Job Family- Administration, Operations and Facilities - Career Stream- Operations - Leadership Pipeline- Manage Others - FAIS Affected**Job Purpose** - To manage, control and attend to contractor audits, authorizations over-mandate, upfront assessments, customer complaints and...
-
Inbound Client Contact Centre Administrator
Found in: Adzuna ZA B C2 - 2 weeks ago
Cape Town, South Africa Adzuna ZA B C2 Full timeThe contact centre is responsible for the inbound telephonic servicing of the individual policyholder and brokers with the aim of providing a first call resolution experience, while maintaining a high standard of customer service. They also respond to claim-related queries and correspondence received.Requirements: Must have a thorough understanding of...
-
Quality Assurance Manager
21 hours ago
Cape Town, South Africa White Hat Gaming Full time**Purpose of the role**: As a QA Manager at Moonspin you play a very important role in supporting the improvement of service quality offered by the Call Center to our players by leading the QA team effectively. This role requires you to be self-managed, flexible, show initiative, and lead by example. You will be responsible for building strong working...
-
R&d Regulatory Affairs Associate Analyst
5 days ago
Cape Town, South Africa PepsiCo Full time**Responsibilities**- Regulatory Affairs Discipline Approver for ingredient Specifications.- Learn, understand and uphold the PepsiCo Global Ingredient Standard and Supplier Standard, and become proficient in the PepsiCo systems/IT Applications associated to spec writing.- Conduct gap analysis of legacy specifications against PepsiCo Global Ingredient...
-
TRAINER - Atlantis, Western Cape
Found in: Talent ZA C2 - 1 week ago
Cape Town, South Africa Labournet Full timeTRAINER – Atlantis, Western CapeR400 000 – R500 000 Per Annum Negotiable based on Qualification and Years of relevant experienceHighly Reputable Global Manufacturing concern is in search of a qualified and ambitious Trainer to support HR with the implementation and coordination of regular training activities relating to production and quality.One would...
-
TRAINER - Atlantis, Western Cape
Found in: Talent ZA C2 - 1 week ago
Cape Town, South Africa Labournet Full timeTRAINER – Atlantis, Western CapeR400 000 – R500 000 Per Annum Negotiable based on Qualification and Years of relevant experienceHighly Reputable Global Manufacturing concern is in search of a qualified and ambitious Trainer to support HR with the implementation and coordination of regular training activities relating to production and quality.One would...