Claims Administrator Health Gap Cover

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,...

-Introduction Processing of medical expense shortfall (gap cover) claims in accordance with stipulated service levels and in terms and conditions of cover as defined in policy wording. Role Purpose Processing of medical expense shortfall (gap cover) claims in accordance with stipulated service levels and in terms and conditions of cover as defined in...

**Introduction** Processing of medical expense shortfall (gap cover) claims in accordance with stipulated service levels and in terms and conditions of cover as defined in policy wording. **Role Purpose** Processing of medical expense shortfall (gap cover) claims in accordance with stipulated service levels and in terms and conditions of cover as defined...

-Introduction Processing of medical expense shortfall (gap cover) claims in accordance with stipulated service levels and in terms and conditions of cover as defined in policy wording. Role Purpose Processing of medical expense shortfall (gap cover) claims in accordance with stipulated service levels and in terms and conditions of cover as defined in...

Gauteng, Sandton - Annually Cost To Company (Market related, Negotiable) The claims controller will collate records and examine information to assist in determining claim settlements, within the governed framework to ensure compliance with the short term insurance regulations. OR to determine the validity of the claims from agent companies, assess the...

**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...

**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...

**Introduction** - To diligently attend to day to day and Accident and Health claims handling across various products and to provide supervisory oversight over a defined area within the short-term claim’s environment.**Role Purpose** - To diligently attend to day to day and Accident and Health claims handling across various products and to provide...

Who we are Safrican is a respected life insurer with a footprint in South Africa and a subsidiary in Eswatini. Safrican has over 2 million principle lives covered and more than 7 million lives assured, The Company has grown from strength to strength since 2004. Job Purpose To ensure that valid claims are paid correctly and on time as well as efficient and...

**Job Summary**: Aon Re Africa Pty Ltd has an exciting opportunity for a Claims Administrator at our offices in Sandton! The role of the Claims Administrator is to provide efficient and professional reinsurance claims administration and collect and services nationally as well as internationally for the reinsurance clients and to assist the technical accounts...

**Business Unit**:Discovery Employee Benefits**Function**:Administration and Office Support**Date**:31 Oct 2024 - Achieve more than** **YOU BELIEVE** - Discovery Corporate & 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...

**Introduction** - To provide full admin support to new business consultant and scheme manager.**Role Purpose** - To provide full admin support to new business consultant and scheme manager.**Requirements**: - Matric - Computer literate - basic computer skills knowledge and experience, specifically in MS Office - FAIS Fit and Proper including RE5 - At least...

**Business Unit**:Discovery Employee Benefits**Function**:Claims Administration**Date**:4 Oct 2024 - Achieve more than** **YOU BELIEVE** - Discovery Corporate & Employee Benefits- Claims and Underwriting 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...

**Job Duties/Responsibilities will include**: Do short-term insurance quotations and comparisons for brokers Process amendments on existing policies Identify gaps in client’s insurance cover Process short-term insurance claims Keep track and follow up on arrear premiums Plan and process monthly renewals Answer and direct incoming calls from...

**CLAIMS & fines ADMINISTRATOR** Must have experience as a claim administrator, worked with insurance companies Be-able to negotiate prices Work well under pressure Computer literate Good communication skills and can think for themselves Basic R12000.00 **Job Type**: Permanent Pay: Up to R12 000,00 per month

**Purpose of the Role**: **Key Responsibilities**: **Full Management of the of the Authorisations Teams (Health and Pet)**: - Define the claims strategy that can be cascaded down for successful implementation across the claims function. - Structure the Claims department to enable high-level claims analysis to be carried out and successfully interpreted by...

**Business Unit**:Vitality Life**Function**:Claims Administration**Date**:11 Oct 2024Discovery - VitalityLife - Claims Assessor - Specialist - About Discovery VitalityLife - 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...

**iStore** The home of everything Apple, iStore is Africa’s largest Apple Premium Reseller. With a retail footprint of more than 28 physical and online stores across Africa that provide Expert advice, Apple Authorised Repairs, Business, Education, training and technical support for anything and everything Apple. The Claims Administrators will be...

**Main purpose of the job** Provides support to clients relating to claims and claim queries. Project a professional company image through customer/provider interaction. **Claims Capturing** - Accurate capturing of claims (80 claims per day minimum) - Scanning and filing of paper claims - Answer calls and resolve claim queries within determined SLA -...

**Job Summary**: The Role as Claims Manager will be responsible for overseeing the administration and authorisations of claims of daily administrative operations and managing the insurance processes for client transactions for approvals of procedures through veterinary clinics. This role involves liaising with veterinary clinics addressing clients’ queries...