Claims Administrator

2 weeks ago


Sandton, South Africa Watershed Consulting Full time

Our client in the Healthcare Insurance space is looking to employ a Claims Administrator

**Responsibility**:
- Assess claims.
- Ensure that claims are processed according to the rules, benefits, and conditions of the policy.
- Contact service providers for discounts when claims are over the company prescribed threshold.
- Ensure that all policy limitations, waiting periods, exclusions are appropriate and in line with the policy.
- Attend to customer queries.
- Any other duties as requested by the company from time to time.

**Qualifications**:
- Matric
- FAIS Compliant (**Qualification and RE 5**)
- Customer Service Certificate

**Skills and Experience**:
- At least 2 years’ gap cover or medical claims experience.
- Technical knowledge of various health insurance products.
- Knowledge of ICD Codes, medical procedures, and medical aid schemes.
- Understanding of PMB legislation in conjunction with Gap Cover.
- Sound computer skills - Microsoft Office a must.
- Excellent customer service skills.
- Takes ownership and responsibility.
- Ability to work in a team with mínimal supervision.
- Pays attention to detail.
- Excellent analytical skills.
- Ability to handle pressure - always remain calm, friendly, courteous, polite, professional, and willing to assist


  • Claims Administrator

    4 weeks ago


    Sandton, South Africa Discovery Ltd. Full time

    **Business Unit**:Discovery Employee Benefits**Function**:Administration and Office Support**Date**:22-Feb-2023Achieve more than - *** **YOU BELIEVE** - Discovery 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 exceptional...

  • Claims Administrator

    1 month ago


    Sandton, South Africa Discovery Ltd. Full time

    **Business Unit**:Discovery Employee Benefits**Function**:Administration and Office Support**Date**:17-Apr-2023Achieve more than - *** **YOU BELIEVE** - Discovery 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 exceptional...


  • Sandton, South Africa Scholtz Partners International Full time

    Brief description of the vacancy: A position is available for a CLAIMS & fines ADMINISTRATOR to join our Truck Rental division in Linbro Park with the following criteria:• Must have experience as a claim administrator, worked with insurance companies• Be-able to negotiate prices• Work well under pressure• Computer literate• Good communication...


  • Sandton, South Africa Discovery Ltd. Full time

    **Business Unit**:Discovery Employee Benefits**Function**:Administration and Office Support**Date**:15-May-2023Achieve more than - *** **YOU BELIEVE** - Discovery Employee Benefits Client Care Team: Claims and Underwriting Administrator - **About Discovery** - Discovery’s core purpose is to make people healthier and to enhance and protect their lives. We...


  • Sandton, South Africa Stepco Recruitment Full time

    **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...


  • Sandton, South Africa Stepco Recruitment Full time

    **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...


  • Sandton, South Africa Staffing101 Full time

    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)

  • Claims Consultant

    4 weeks ago


    Sandton, South Africa Moving Heads Personnel Full time

    **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...

  • Claims Assessor

    4 weeks ago


    Sandton, South Africa Discovery Ltd. Full time

    **Business Unit**:Discovery Insure**Function**:Insurance (Short Term)**Date**:6 Sep 2023**Key Purpose** - To assess motor liability claims to determine validity and cost from third party Insurers.**Areas of responsibility may include but not limited to** - Motor liability claims assessing, including settlement of liability claims - Turn-around time and...

  • Claims Assessor

    1 month ago


    Sandton, South Africa Discovery Ltd. Full time

    **Business Unit**:Vitality Life**Function**:Claims Administration**Date**:7 Aug 2023Discovery - VitalityLife - Claims Assessor**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 values...

  • Commercial Fleet

    22 hours ago


    Sandton, South Africa RAKKGALAKANE RECRUITMENT Full time

    Commercial Fleet (Trucks) Claims & Fines Administrator, Sandton, R12 000 + BenefitsMin of 3 years as Claim Administrator within – Fleet/ Truck Rental IndustdryMin of 3 years exp working with Insurance CompaniesAble to work well under pressure.Pref FemalesComputer LiterateAfrikaans Home LanguageGood communication skillsAble to think for themselves.Able to...


  • Sandton, South Africa Discovery Ltd. Full time

    **Business Unit**:Vitality Life**Function**:Claims Administration**Date**:17 Feb 2024Discovery - VitalityLife - Claims Assessor - Specialist - 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...


  • Sandton, South Africa Moving Heads Personnel Full time

    **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...

  • Claims Assessor

    4 weeks ago


    Sandton, South Africa Discovery Ltd. Full time

    **Business Unit**:Vitality Life**Function**:Claims Administration**Date**:22 Feb 2024Discovery - VitalityLife - Claims Assessor (Senior)**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...

  • Claims Specialist

    4 weeks ago


    Sandton, South Africa Discovery Ltd. Full time

    **Business Unit**:Discovery Employee Benefits**Function**:Claims Administration**Date**:25 Jan 2024Achieve more than - *** **YOU BELIEVE** - Discovery Employee Benefits- Claims Specialist_ **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...

  • Annuity Administrator

    1 month ago


    Sandton, South Africa Discovery Ltd. Full time

    **Business Unit**:Discovery Employee Benefits**Function**:Administration and Office Support**Date**:15-May-2023Achieve more than - *** **YOU BELIEVE** - Discovery Employee Benefits - **Annuity 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...

  • Annuity Administrator

    1 month ago


    Sandton, South Africa Discovery Ltd. Full time

    **Business Unit**:Discovery Employee Benefits**Function**:Administration and Office Support**Date**:5 Sep 2023Achieve more than - *** **YOU BELIEVE** - Discovery Employee Benefits - **Annuity 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...


  • Sandton, South Africa A-Z Business Professionals Full time

    _“Must have BMW costing experience, at a minimum 5+ years, but ideally 10+ years_ - Must have expert Excel knowledge_ **Main purpose of position** To manage an organised service administration department in adherence to the Company’s Aftersales policies and procedures. Focusing on customer satisfaction. Responsible for mentoring and leading all...

  • Senior Administrator

    4 weeks ago


    Sandton, South Africa Momentum Corporate Full time

    **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...

  • Administrator

    4 weeks ago


    Sandton, South Africa Envect Enterprise Full time

    **Administrator: Support Services** Introduction Envect Enterprise is currently embarking on a process to fill a vacant position in the Gauteng Provincial Office. Minimum Appointment Requirements: Matric/Grade 12 Certificate; National Diploma in Administration (NQF 6); 2 years administrative experience; Legal Practice Act, no 28 of 2014; MS Office (Word,...