Manager (Pre-auth and Claims Department)

Join Our Exclusive Talent Pool! We believe in nurturing talent and providing a platform for growth. As we expand our horizons, we are building a talent pool of passionate professionals who share our commitment to excellence. A growing Company situated in Benoni is looking for a Pre-Auth Agent who will facilitate the process of pre-authorization as requested...

Our client based in the North is looking for an analytical and attention-to-detail Consultant within their Pre - Authorisation department. Key Requirements: Possess a nursing qualification and Emergency Services qualification or any other Clinical/Medical qualification 3-5 years of Pre-Auth experience is required Previous exposure to Renal Dialysis,...

Purpose of the Job: The Consultant: Pre-Assessment is responsible for the pre-assessment of prospective claims applications.Key Performance Areas:Pre-Assessment of Prospective Claims:Record all submitted documents for prospective claims.Determine benefits and products submitted based on submitted documents.Assess submitted documents to determine compliance...

Trafalgar is the leading property rental agency across South Africa, letting and managing residential properties across all major metropolitan areas. Trafalgar has a wide selection of homes to rent, to suit all budgets, tastes and areas. Trafalgar offers full-service sectional title and home owners association (“HOA”) property management services across...

Claims Team Leader Job DescriptionAt CallForce, we are seeking a seasoned Claims Team Leader to spearhead our claims department. As a Claims Team Leader, you will be responsible for overseeing a team of consultants, ensuring seamless claims processing, and providing guidance and mentorship to team members.Key Responsibilities:Team Supervision: Lead and...

Claims Team Leader Job DescriptionAt CallForce, we are seeking a seasoned Claims Team Leader to oversee our claims department and drive exceptional results. As a key member of our team, you will be responsible for leading a team of consultants, ensuring efficient and accurate claims processing, and providing mentorship and guidance to team members.Key...

Our client in the Insurance industry is currently looking for a **Claims Manager** in Park Town, Johannesburg. **Responsibilities**: - Day to day management of staff. - Delegate and distribute workload as required. - Appraise and review performance targets/progress. - Staff recruitment and selection. - Manage efficiencies in department. - Claims strategy -...

Claims Team LeaderCallForce is a leading Business Process Outsourcing (BPO) company that delivers exceptional outsourced solutions to our clients. We are seeking a dedicated and experienced Claims Team Leader to lead our claims department effectively.Key Responsibilities:Supervise a team of consultants to ensure efficient and accurate claims...

**Purpose** **Key responsibilities** **Claims process**: - Oversee the entire claims lifecycle, from initial intake to final settlement - Analyse claim details, including damages, policy coverage, and applicable regulations, to determine appropriate reserves - Negotiate fair and timely settlements with clients, claimants, and third-party representatives -...

**Key Responsibilities**: Claims Team Leadership: Lead, mentor, and coach a team of claims professionals, ensuring they provide high-quality service and meet performance targets. Claims Outcomes: Oversee and ensure accurate and efficient processing of motor insurance claims. Policy Compliance: Ensure that all claims are processed in accordance with company...

NB: This is a 12-Month Fixed-Term Contract position    Purpose of the job: The Consultant: Pre-Assessment is responsible for the pre-assessment of prospective claims applications.     Key Performance Areas   Pre-Assessment of Prospective Claims Record all the submitted documents for prospective claims. Determine the benefits and the products...

We are seeking an experienced Claims Team Leader to join our team at CallForce. As a Claims Team Leader, you will play a pivotal role in supervising a team of consultants, ensuring efficient and accurate claims processing while providing mentorship and guidance to team members.Responsibilities:Team SupervisionClaims ProcessingCoaching and DevelopmentQuality...

Opportunity for a at Johannesburg North Insurance Brokerage. Play a crucial role in restoring our clients to their pre-loss status. Be the driving force behind efficient claims management, ensuring adherence to the companies service standards and swift turnaround times. Make a difference by helping clients navigate the complexities of the claims process and...

Job Description**Job Title:** Operational Manager - Contracts Department**Job Summary:** We are seeking an experienced Operational Manager to lead our Contracts Department and ensure the successful execution of our contracts. The successful candidate will be responsible for managing, coordinating, and planning the department to deliver professional...

Job Title: Claims Assessor Job Summary: We are seeking a highly skilled Claims Assessor to join our team at ATripleA Recruitment and Temps. As a Claims Assessor, you will be responsible for administering claims and opening files, managing day-to-day claims, appointing assessors, and directing claims input on systems. You will also ensure appropriate...

Claims Assessor Job Description **Job Summary:** We are seeking a highly skilled Claims Assessor to join our team at ATripleA Recruitment and Temps. As a Claims Assessor, you will be responsible for administering claims, managing files, and ensuring the settlement of valid claims. **Key Responsibilities:** * Administer claims and open files in a timely...

**Claims Assessor Role**We are seeking a skilled Claims Assessor to join our team at ATripleA Recruitment and Temps. The successful candidate will be responsible for administering claims, opening files, and managing day-to-day claim activities.Key Responsibilities:Administering claims and opening filesManaging day-to-day claim activitiesAppointing assessors...

Claims Services Executive Job DescriptionA leading JSE listed Insurance company is seeking a highly skilled Claims Services Executive to join their team. The successful candidate will be responsible for providing exceptional client service during the short-term claims process.Key Responsibilities:Problem-solving and claims handlingAssisting clients with...

Claims Services Executive Job DescriptionA JSE listed Insurance company is seeking a highly skilled Claims Services Executive to join their team. The ideal candidate will have excellent academic credentials and strong communication skills.Key Responsibilities:Assist clients during the short-term claims processProblem solve and handle claims efficientlyLiaise...

Duties: • Administering claims and opening files. • Managing day-to-day claims activities. • Appointing assessors and authorizing their work. • Directing claims input on systems. • Ensuring valid controls are in place for claims settlement. • Managing repudiations, ensuring fairness, and diplomatic communication. • Applying policy terms...