Senior Complex Claims Examiner

**Role**:Claims Examiner **The Organisation**: The organisation is the largest underwriter of corporate property and affiliated engineering risks in South Africa, and underwrites business throughout Africa. **Minimum Requirements**: - At least 5 years’ experience in corporate / commercial property and business interruption claims handling - In-depth...

What will you do? Emerald a subsidiary of Santam has a position available for a Claims Examiner who will be based in Fourways, Johannesburg. What will you do? Management and administration of claims in terms of corporate Assets All Risk Property Damage and Business Interruption claims Appointment and management of external resources e.g., loss adjusters,...

Santam Insurance is seeking a skilled Motor Merit Claims Examiner to examine and process claims efficiently and effectively.About the JobConduct thorough examinations of claims to ensure accuracy and completeness.Interact with customers to clarify any discrepancies.Develop and maintain relationships with external stakeholders.ResponsibilitiesExamine claims...

Role Summary:This role involves handling claims related to funerals, ensuring that they are processed efficiently and effectively. The successful candidate will have excellent analytical skills, attention to detail, and strong communication skills.Key Responsibilities:Analyse and assess claims to determine validity and ensure timely payment. Detect and...

Gauteng, JHB - Northern Suburbs - Annually Cost To Company (Market related) A well-established short term insurer is seeking to appoint a Complex Claims Manager The Complex Claims Manager will effectively manage claims experience within the governance framework, lead and manage complex Claims controllers and ultimately ensuring the attainment objectives...

will follow We are an Equal Opportunity Employer American International Group, Inc., its subsidiaries and affiliates are committed to be an Equal Opportunity Employer and its policies and procedures reflect this commitment. We provide equal opportunity to all qualified individuals regardless of race, color, religion, age, gender, gender expression,...

Provide an efficient and professional Claims service to customers through prompt and fair settlement of Claims within mandate. Contribute to business development and retention through positioning Claims and Claims service as an AIG product. **PRINCIPLE DUTIES AND RESPONSIBILITIES**: Claims Administration Register the Claim according to procedure Set...

**PURPOSE OF THE JOB**: To 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 liability and negotiate settlements. **Duties and Responsibilities**: **Claims...

**Job Details**: - Department Insurance- Minimum experience Associate- Company primary industry Insurance- Job functional area Other**Introduction** A great company in the insurance sector is actively sourcing for a Claims Controller to join their team for a 6 months fixed term contract and accurately record and examine received claims and any related...

**Customer Service ~ Insurance** **JHB North** ***: **Claims Controller - Illovo** **12 Month Fixed Term** **Purpose** To collate records and examine information to assist in determining claim settlements, within the government framework to ensure compliance with the short-term insurance regulations or to determine the validity of the claims from agent...

TBU - We are an Equal Opportunity Employer - American International Group, Inc., its subsidiaries and affiliates are committed to be an Equal Opportunity Employer and its policies and procedures reflect this commitment. We provide equal opportunity to all qualified individuals regardless of race, color, religion, age, gender, gender expression, national...

The Motor Claims Assessor position at Sanlam requires a degree, diploma, or certificate in mechanical-related studies or equivalent automotive/mechanical body repair qualifications. VDQGBSA membership, Abuntex/Audatex training, and 3 years of experience in motor assessing are also essential.RequirementsA degree, diploma, or certificate in mechanical-related...

**Specialist Claims Advisor**: **What can you expect?** Marsh is a global leader in **insurance broking** and innovative risk management solutions. We help clients quantify and manage risk and help them unlock new growth opportunities. Having an established presence in more than 130 countries worldwide, national and international collaboration and...

Key ResponsibilitiesClaims processing and adjudication.Review and update ICD10 codes on all claims in line with relevant protocols and accepted liability.Liaise with medical service providers to submit outstanding medical reports in order to update claims progress status timeously and ensure that claims estimates remain within the acceptable...

Gauteng, JHB - Northern Suburbs - Annually Cost To Company (Market related) A well-established short term insurer is seeking to appoint a Claims Controller. To 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...

**THE JOB AT A GLANCE** As the Claims Assessor, you will be reporting to the Team Leader: Claims Assessor. You will be responsible for adjudicating and processing claims in an effective and efficient manner within the prescribed guidelines set out by Rand Mutual Assurance. **WHAT WILL YOU DO?** **Claims Adjudication**: - Verify claims captured for...

Matric and Short Term Insurance Certificate NQF 4 is essential Regulatory Examination Passed (this is essential) 3-5 Years experience working without supervision in Personal and Commercial Lines (Motor / Non-Motor Claims) Must come from a Brokerage environment Registering New Claims Attend to queries Follow up on "Outstanding" claims Processing supplier...

**Job Advert Summary**: This role reports to the Executive Claims Assessor. The role will transfer specialist claims knowledge, in-depth process knowledge and client centric principles to the claims team by conducting, quality assurance and post audit entrenchment. Conduct training session for the claims team and other internal and external stakeholders and...

Gauteng, JHB - Eastern Suburbs - Annually Cost To Company (Market related) Well established Underwriting Managers firm is looking to appoint a Senior claims negotiator. **SKILLS,QUALIFICATIONS & RESPONSIBILITIES**: - Education: Matric - A minimum of 10 years’ commercial claims experience in the insurance industry specifically building/property claims -...

Matric Certificate with Mathematics Regulatory Exam and Higher Certificate in Short term Insurance - NQF 5 Degree in Law or Risk Management or similar is preferred Leadership / Management Development Certification is preferred Class of Business certification (Personal Lines & Commercial Lines) Must be compliant with FAIS Fit and Proper requirements with...