Claims Administrator

**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 -...

**GERMAN Claims Administrators** **Job description** - Working in the customer services department - Recording, handling and following up clients’ claims concerning their insurance - Identifying and processing claims using procedures that have been put in place - Evaluating damages according to insurer’s guidelines as well as directly with the client in...

**Dutch Speaking Claims Administrators** **Job description** - Working in the customer services department - Recording, handling and following up clients’ claims concerning their insurance - Identifying and processing claims using procedures that have been put in place - Evaluating damages according to insurer’s guidelines as well as directly with the...

Our client seeks a French-speaking Claims Representative to join their customer services team. Responsible for recording, processing, and following up on insurance claims, the candidate will handle all related calls and emails. Proficiency in French and English, along with administrative skills, is required for this full-time, permanent position based in...

A vacancy exists for a Claims Assessor in our Gap Claims Assessing Department. (Claremont Cape Town) **Job description & duties**: - To check and validate all GAP claim documents received and to request any outstanding documents - To follow the claims process and capture the claim information onto the system - To verify and update any client personal...

A recent professional profile photo is to accompany your applicationEMPLOYMENT TYPE : Permanent/ TemporarySECTOR : ClaimsBASIC SALARY : Market RelatedSTART DATE : A.S.A.P / ImmediateREQUIREMENTS:Bachelor's degree or equivalent educationExcellent proficiency in...

**Job Advert Summary**: Our client is looking for claim administrator to - Ensure all claims are investigated according to claims investigation processes. - All investigation steps to be followed and accounted for: - Ensure SIT is cleared prior to investigating any claim. **Minimum Requirements**: **Duties and Responsibilities**: - Ensure SIT is cleared...

Requirements: Applicants must have a thorough understanding of medical aid operations or insurance policy administration and operations.Matric.Responsibilities: To check and validate all GAP claim documents received and to request any outstanding documents. To follow the claims process and capture the claim information into the system. To verify and update...

**Role Duties and Responsibilities**: - Supporting regional claims leads with their daily supervisory duties to progress, investigate and settle all claims within the required SLAs. - Reviewing problematic claims (including bad risks) and providing recommendations to regional claims leads / agents based on claim evidence and relevant policy wording. -...

Our Client in Claremont is looking to employ a GAP Claims Assessor with Medical Aid claims processing and administration / insurance industry experience to join their teamA recent professional profile photo is to accompany your applicationEMPLOYMENT TYPE   :           PermanentSECTOR                         :          ...

**MINIMUM REQUIREMENTS**: - Grade 12 (higher qualification advantageous - 2-3 years employee benefit claims experience - Clear criminal and credit record **BASIC WORK EXPERIENCE REQUIRED**: - Minimum of 2 - 3 years related experience in a Claims environment. - Employee benefit/ long term claims experience **KNOWLEDGE AND SKILLS**: 1 Communication...

A recent professional profile photo is to accompany your applicationEMPLOYMENT TYPE : PermanentSECTOR : FinanceBASIC SALARY : R16,000START DATE : A.S.A.P / ImmediateREQUIREMENTS:2 years experience in a similar roleInsurance industry experience (essential)Medical Aid...

Requirements - Gr 12; - Must have at least 2 years’ experience in the same field; - Excellent administrative and organisational skills, eye for detail; - Excellent communication and people management skills; - Able to work independently and under pressure. **Education**: - High School (matric) (preferred) **Experience**: - claims handling: 2 years...

Description This role provides immediate response to complex administrative requirements in accordance with SLA parameters, in a processing environment. The incumbent is individually accountable for achieving results through own efforts. Job Details Attends to the above duties in respect of all death claims received on policies owned by SuperFund...

A vacancy exists in our clients Clinical division. The position offered will suit a self-motivated and?driven person who will be assisting in the auditing of risk claims, in and out of hospital.Your duties will include but not be limited to the following:Auditing of accounts, applying industry rules and guidelines as set out in the relevant Tariff and...

We are looking for a skilled and motivated Analyst Developer to join our team, specializing in Retirement Fund Administration (FAS) and Benefit Claims (PEP). The Analyst Developer will play a crucial role in designing, developing, and maintaining software solutions to support retirement fund administration processes and benefit claims management.What...

We are looking for a skilled and motivated Analyst Developer to join our team, specializing in Retirement Fund Administration (FAS) and Benefit Claims (PEP). The Analyst Developer will play a crucial role in designing, developing, and maintaining software solutions to support retirement fund administration processes and benefit claims management. What...

Job DescriptionRed Ember Recruitment is seeking a payroll administrator for a contract role based at the client in Muizenberg.Stipend Payroll:Compile and send out monthly stipend verification lists to relevant program Managers and collect them for processing.Liaise with program Managers regarding stipend-related matters.Follow up on any outstanding documents...

Minimum Requirements Grade (Senior Certificate or equivalent qualification); A valid (code B or higher) driving licence. Recommendation Experience in the following: Administrative experience, Project management; Relevant systems; Biz-projects, E-Works, BAS, My Content and SITS; Project support; Finance claims. Key Performance Areas Furniture...

A vacancy exists for an Inbound Client Services Call Centre and Correspondence Administrator in our Client Services Department. (Claremont Cape Town) The contact centre is responsible for the inbound telephonic servicing of the individual policyholder and brokers with the aim of providing a first call resolution experience, while maintaining a high standard...