Dental Claims Administration

IntroductionMomentum 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 using a...

Job description:The Claims Administrator is responsible for coordinating and overseeing, managing, negotiating settlement of the claim and is accountable for the finalisation of the claim end-to-end.Responsibilities: Register claims and appoint assessors Manage claims in terms of claims SLA Make decision regarding merit indemnify or not Negotiate settlement...

**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...

**Key Areas of Responsibility** Including, but not limited to: - Handling of Glass Claims - Registration of Glass Claims - Confirmation of Cover - Cost of claims Check if cost is reasonable within the normal range, before authorising claim. Try and keep cost as low as possible. Industry standard for original, Shatterproof or Generic Glass per claim. Get...

Job Purpose:This role is responsible for the assessment of all claims received from the Branches and assist with branch enquiries. To resolve all claim/ quality related queries.Qualifications and or Experience: Grade 12 (Mathematics) Technical and/ or Mechanical Training / Qualification (Diesel and or Petrol) years' experience in administration of claims and...

**Job Purpose**:This role is responsible for the assessment of all claims received from the Branches and assist with branch enquiries. To resolve all claim/ quality related queries. **Qualifications and or Experience**: - Grade 12 (Mathematics) - Technical and/ or Mechanical Training / Qualification (Diesel and or Petrol) - 2 - 3 years’ experience in...

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 using...

**Gauteng**, Centurion** **R 5000 - R 7000 Monthly Basic Salary** CLC is currently looking for a dynamic individual to join our Learnership Programme. During this 12-month programme, you will be completing an NQF 2 Call Center Qualification while gaining working experience as an Administrator in our claims department. **Minimum Requirements**: - Grade...

**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. **Role Purpose** Our consultants...

Ensure that all administrative functions relating to claims are processed in a timeous and correct manner.REQUIREMENTS Grade 1 FAIS accreditation (Level RE 5) Financial Sector Conduct Authority (FSCA) recognised qualification 5 years in the shortterm insurance industry Excellent English and Afrikaans communication skillsKEY PERFORMANCE AREAS Managing the...

**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.- **Role Purpose** - Our consultants...

**Introduction** **Role Purpose** Investigate, collate and verify all death claims on behalf of the fund together with providing client education on fund and administration related issues. **Requirements**: - Matric - Certificate of Proficiency on Retirement Funds or equivalent qualification (preferred) - Bilingual (English and one other official SA...

To ensure that all administrative functions relating to claims are processed in a timeous and correct mannerREQUIREMENTS Grade 1 FAIS accreditation (Level RE 5) Financial Sector Conduct Authority (FSCA) recognised qualification 5 years in the shortterm insurance industry Excellent English and Afrikaans communication skillsKEY PERFORMANCE AREAS Obtain claim...

Gauteng, CenturionA well-established financial services business is seeking to appoint a Head: Claims OperationsThe Head: Claims Operations is primarily responsible to oversee and ensure management of daily operations and functions for all claims in an efficient and effective manner deliver a high level of customer satisfaction.In addition; the incumbent is...

Introduction Through our clientfacing 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.Role Purpose Our consultants within the Claims...

**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** Ensure the smooth running of the disability management administration function by efficient coordination of related tasks. To provide an effective and efficient service to clients and intermediaries by receiving, evaluating and responding to queries timeously. Accurately capture incoming correspondence and claims onto the...

Qualifications: Bachelors Degree in Business Management / Business Administration / Medical / Health or related qualification. Post graduate qualification in Business Management / Business Administration or related qualification.Experience: At least 1012 years relevant claims administration experience of which 5 (five) years must have been at a senior...

IntroductionRole PurposeInvestigate, collate and verify all death claims on behalf of the fund together with providing client education on fund and administration related issues.Requirements: Matric Certificate of Proficiency on Retirement Funds or equivalent qualification (preferred) Bilingual (English and one other official SA language) 35 Years'...

Business Management ~ CommunicationCenturion***: Head: Claim Operations - Centurion - Permanent-Salary: Market RelatedMinimum Job RequirementsQualification And Experience Bachelor's degree in business management / Business Administration / Medical / Health or related qualification. Post graduate qualification in Business Management / Business Administration...