Business Systems Solutions: Manager Claims

**Introduction** Metropolitan is one of the oldest financial services brands in South Africa. With a 116-year legacy of serving the communities in which it operates, Metropolitan represents true empowerment in serving Africa's people through affordable financial solutions that create financial growth and security. **Role Purpose** Accountable for Claims...

-Introduction Momentum Health Solutions ( MHS), an entity of Momentum Metropolitan Holdings Limited, 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...

**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...

**Introduction**Role Purpose** - Accountable for Claims Risk management, technical training, configuration management, mentoring, skills development, correspondence, and communication management in line with departmental objectives and ensuring that the business processes and system capabilities are aligned to service delivery.**Requirements**: - Grade 12 -...

**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...

The incumbent will ensure that the company Business Development solutions are designed, integrated, developed, maintained and enhanced efficiently and effectively and that it delivers against business needs. The incumbent is further tasked with the maintenance of the company Business Development blueprint that is usable and consistent with company’s...

-Introduction Role Purpose To oversee and take accountability for key Claims functions and as a result ensure that MHC continues to efficiently and effectively provide leading administrative services to the Scheme and its members. Further to this, ensure standardisation, consistency and optimisation of processes across claims administration. Requirements -...

**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...

**Introduction** **Role Purpose** The role incumbent will be responsible for managing and guiding a team focused on proactive risk identification, by bringing a systematic and structured approach to adjudicating financial risk to client schemes. Activities will be directed at preventing future losses due to Fraud, Waste, and Abuse (FWA) primarily in the...

**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...

**Position Overview** The Claims Consultant assesses and manages claims effectively and efficiently, within the required SLA, ensuring optimal profitability of the business. **Responsibilities** - Claims assessment and management of Individual Life claims across all benefit types, for the South African operation, as well as other benefits relevant to the...

**SUMMARY OF POSITION** The Solutions Architect is responsible for creating a comprehensive architecture for a software solution and providing strategic direction throughout the development process. This includes ensuring that the new solution fits into the existing enterprise architecture from the technical, business, user, and other perspectives. The...

**Position Overview** The Claims Administration Team is looking for a self-motivated individual who has at least 5 years administration experience to manage the incoming claims and work allocation across the team. The role will require interaction with internal and external clients in response to queries; loading of claims notifications onto the system; and...

Who are we? Santam is the market leader in the general insurance industry in Southern Africa. We are a large, diversified, expanding and transforming company and whilst based in South Africa, we are rapidly moving into a number of emerging markets, both in Africa and Asia. Our success is rooted in our passion for our clients and everything we do is centred...

**Position Overview** The Claims Administration Team is looking for a self-motivated individual who has at least 2 years administration experience to manage the incoming claims and work allocation across the team. The role will require interaction with internal and external clients in response to queries; loading of claims notifications onto the system; and...

About the RoleWe are looking for a Branch Manager Assistant to support our team at Service Solutions in George. The successful candidate will have excellent communication skills and experience in fleet management.The role involves:Liaising with customers and other branches regarding bookings and vehicle availabilityMaintaining/arranging services on...

**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. We help people grow their savings,...

**Role Duties and Responsibilities**: - Supporting regional claims leads with their daily supervisory duties to progress, investigate and settle all claims within the required SLAs. - Reviewing problematic claims (including bad risks) and providing recommendations to regional claims leads / agents based on claim evidence and relevant policy wording. -...

Cape Town, Western Cape - Administrative **Claims Assessor (JB4315)** **Claremont, Cape Town, Western Cape** **R16 000 - R19 000 CTC per month based on experience** **Permanent** A leading provider of insurance solutions, dedicated to delivering exceptional service and peace of mind to their clients and strives to exceed expectations by consistently...

**Role Purpose** To provide stakeholders (e.g. clients, account executives) with efficient claims advice and administration according to the required standards and procedures in support of the business strategy. **PERSPECTIVE** **OUTPUTS** **Financial** - Ensure appropriate minimisation claims expenses - Ensure and contribute to minimisation of general...