Claims Investigator: Desktop

Company Description OUTsurance is a customer-centric financial services company with a global foot print. We are vibrant, successful and values orientated with an awesome dynamic culture encapsulated by the ethos that clients and staff “always get something OUT.” Our success can be attributed, amongst other things, to the outstanding people that work...

**Introduction**Role Purpose**Requirements**: - Previous commercial claims experience is essential - Previous call centre experience in a claims environment - Matric **Duties & Responsibilities** - Capture/register claims on the PREMIA system - Handle administration and follow ups concerning claims - Liaise with clients, service providers and assessors -...

**Finance ~ Insurance** **Centurion** ***: **Manager: Actuarial Claims Risk - Centurion - Salary: R1 028 791.00 pa (Negotiable)** **Overview** - The - **Manager: Actuarial Claims Risk** is responsible to manage the provision of Actuarial Claims Risk support and advice to the Company business. **Qualifications** - Bachelor’s Degree/Advanced Diploma in...

Responsibilities • Assess the validity of the claim and documentation • Invalid claims will be rejected/ Repudiated • Assure capturing of claims are done accurately • Assure all criteria is met to pay claim • Assure the quality of feedback (written and verbal) to clients • Assure feedback on requirements for successful claims payment is done...

**Job Purpose**: Perform Administration, Sequestrations and centralized credit assurance function to ensure accurate and timeous submissions of Credit Life claim. **Job Outputs**: - Deceased: Register claims received from soft and pre-legal collections for Deceased members, Obtain outstanding documentation (Next of Kin), Submit claim to insurers and follow...

**Job Advert Summary**: Applications are invited for the above-mentioned position, to be filled as soon as possible. **Minimum Requirements**: - Bachelor’s Degree in Forensic or equivalent - Certified Fraud Examiner (CFE) will be advantageous - Relevant post graduate degree will be advantageous - 2 - 5 years’ experience in similar role in an insurance,...

**Purpose of the Job**: The main objective of the role is to ensure that general security functions and access control procedures are adhered to. The incumbent will also be responsible for the prevention and investigation of pilferage, damages and theft. **Job Objectives**: **Accountable for**: Safety and Security of the campuses - Ensuring general security...

Closing Date 2024/03/11 - Reference Number SHO240305-2 - Job Title Risk and Safety Manager - Job Type Permanent - Location - Country South Africa - Location - Province Gauteng - Location - Town or City Centurion - Purpose of the Job The main objective of the role is to ensure that general security functions and access control procedures are adhered to. The...

Company Description OUTsurance is a world-class profit orientated short-term & life insurer. You always get something OUT, in that we are vibrant, successful and values orientated with an awesome dynamic culture. Our success can be attributed to the OUTstanding people that work for us. **Job Description**: **Responsibilities** - Liaise with Finance...

**Finance** **Centurion** ***: **Senior Analyst: Corporate Actuarial - Centurion - Salary: R771 969. 00 pa (Negotiable)** **Overview**: **The Senior Analyst: Corporate Actuarial** is responsible to support the Manager to manage and provide actuarial service advice to the company business. **Qualifications and Experience**: - Bachelor’s Degree/ Advanced...

**Core Description**: Responsible for the effective management and resolution of escalations, and complaints from Wholesale customers. This includes dealing primarily with inbound technical support and trouble-shooting queries, ensuring that all issues are thoroughly investigated, and providing regular feedback to the...

Preparation and review of budgets (OPEX and CAPEX) Monthly management account review and variance analysis Monthly management account review and forecasting CAPEX review and forecasting General ledger review and investigation Working with the team with regard to benchmarking and standardisation of policies across brand Internal control...

**Finance** **Centurion** ***: **Manager: Actuarial Analysis and Quantification - Centurion - Salary: R1 028 791.00 pa (Negotiable)** **Overview**: The Manager: Actuarial Analysis and Quantification is responsible to manage the provision of actuarial support and advice to the Company business. **Qualifications and Experience**: - Bachelor’s...

**Introduction** Through our client-facing brandsMetropolitan and Momentum, withMultiply (wellness and rewardsprogramme), and our otherspecialist brands, includingGuardrisk and Eris Property Group,the group enables business andpeople from all walks of life toachieve their financial goals andlife aspirations. **Role Purpose** Accurately process retirement...

**Introduction** - Momentum Health Solutions, an entity of Momentum Metropolitan Holdings delivers sustainable, integrated health solutions that meet the needs of clients in the different segments and maximise lifetime client value. We build and maintain a culture of innovation, and create value through unique insights of how to achieve specific outcomes by...

Ensure that all vehicles are licensed & roadworthy and maintained according to requirements - Ensure that all vehicles are clean and aesthetic, all auxiliary equipment and systems, e.g. Fleetboard, Fuelmaster, etc. are fitted and working - Optimize the utilisation of all vehicles through proper planning, scheduling, controlling and maintenance of vehicles -...

Core purpose of the role To provide legal support and services, manage legal risk and protect the interest of the business. Key deliverables and outputs 1. Provide legal support and direction to the business on all issues pertaining to legal, risk, policies and procedures. 2. Drafting, negotiating and reviewing of commercial documents which includes...

**Job Advert Summary**: The role of the Pricing Actuarial Specialist is to support the Head: Actuarial Short Term & Life with all product development and pricing functions. The Pricing Actuarial Specialist will clean, consolidate, validate and analyse data including policy movements, data reconciliations and preparation of actuarial investigations in order...

**Job Advert Summary**: To provide legal advice, legal opinions and solutions to LBI business units. To manage LBI legal risks. To manage the legal recoveries process of outstanding crop insurance premiums and any other monies due and owing to LBI. To ensure legal compliance as well as manage the external resources. To draft and review LBI contracts. **Key...

**Job Advert Summary**: The Land and Agricultural Development Bank of South Africa (Land Bank) is South Africa’s only specialist agricultural bank established in 1912, the bank’s sole objective is to serve South African commercial and emerging farmers and bring specially designed financial services within their reach. These services enable farmers to...