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,...

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...

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 -...

At CallForce, a leading Business Process Outsourcing (BPO) company renowned for delivering exceptional outsourced solutions to our clients, we seek an experienced and dedicated Claims Team Leader to drive the success of our claims department. As a seasoned professional with a strong background in claims management and leadership skills, you will play a...

**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...

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...

**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...

Duties:•Administering of claims and opening of files.•Day to day self-management of claims.•Appointing assessor and authorising same.•Directing claims input on systems.•Ensure appropriate controls are in place for valid claims settlement.•Managing repudiations, insuring fairness, and diplomatic communication.•Application of Policy terms and...

We are looking for a highly skilled and detail-oriented Senior Claims Management Specialist to join our team at ATripleA Recruitment and Temps.As a Senior Claims Management Specialist, you will be responsible for the day-to-day management of claims, including administering claims and opening files, managing repudiations, and ensuring fair and diplomatic...

Duties: •Administering of claims and opening of files. •Day to day self-management of claims. •Appointing assessor and authorising same. •Directing claims input on systems. •Ensure appropriate controls are in place for valid claims settlement. •Managing repudiations, insuring fairness, and diplomatic communication. •Application of Policy terms...

Job Description Hello Future Claims Assessor Welcome to FNB, the home of the #changeables. We design for the shapeshifters and deliver products and services that make us incredibly proud of people that make it happen. As part of our team in FR Life Assurance, you will be surrounded by unique talents, diverse minds, and an adaptable environment that lives...

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 on our...

Job Description Dear Future, Claims Assessor Specialist Are you someone who can: - Accurate assessment, investigation and management of long-term insurance claims including disability (temporary or permanent disability) and critical illness claims. - Ensuring that the claims assessment and that the standard of decision is consistent with the company...

You will spearhead a dynamic team tasked with delving into motor claims investigations. In this pivotal role, thorough examinations of claims are conducted, to guarantee strict compliance with Company SOP’s and Regulatory mandates. Positioned at a senior level, the emphasis lies on propelling continuous enhancements, eradicating discrepancies, minimizing...

Senior Claims OfficerPlanned Talent Pty (Ltd) is seeking a highly experienced Senior Claims Officer to oversee the management of reinsurance claims, ensuring accuracy, compliance, and efficient handling of claim processes.This role requires strong expertise in claims administration and a deep understanding of the reinsurance sector, as well as excellent...

Job Title: Claims AssessorA key role at ATripleA Recruitment and Temps is the Claims Assessor position. Key responsibilities include:Administering claims and opening files.Day-to-day self-management of claims.Appointing assessors and authorising them.Directing claims input on systems.Ensuring appropriate controls are in place for valid claims...

Posting Description: **Claims Relationship Manager** Extensive marine/mining claims management experience? Good with clients? Read on! Aon South Africa is recruiting a Claims Relationship Manager, based in the Claims Advocacy department at our offices in Sandton. This is a hybrid role. The role of the CRM is to maintain the relationship between the Aon...

We are seeking an experienced Claims Manager to lead our strategic growth initiatives in the Claims function. This role will be responsible for developing and implementing a winning claims strategy that supports the growth and development of iWYZE business.Key ResponsibilitiesDevelop and manage a strategy and operating model for the Claims function that...