Claims Administrator

5 days ago


Bryanston, South Africa Watershed Consulting Full time

Responsibilities
- Validate and process claims according to policy conditions, benefit, and business rules, manually or electronically, for all practice types, i.e. general or dental practitioners, pathology, radiology, and hospital claims.
- Assist the Claims Supervisor with claims administration business rules, standard operational processes claims improvement, as well as data quality management within the claims department.
- Assist with In-house training for new staff.
- Complete daily workflow processes within SLA.
- Effectively and professionally manage correspondence or claim queries received within SLA.
- Incorporating the principles of Treating Customers Fairly (TCF) in the claims process.
- Immediately refer suspicious or fraudulent claims to the Claims Supervisor or risk management department.
Mandatory requirements
- Matric
- FAIS Compliant (RE5 and Qualification are pre-requisites)
- Customer Service Certificate

**Salary**: Up to R18,000.00 per month

**Experience**:

- Claims Administration: 3 years (required)
License/Certification:

- FAIS Compliant License/Certificate? (RE5 a Pre-requisite) (required)
- Customer Service Certificate? (required)



  • Bryanston, South Africa HR Xchange Full time

    A well-established and global logistics company is looking for a Claims Administrator to join their team. Salary R20,000 per month cost to company The purpose of the position is to effectively manage the claim process with logistics service providers and to ensure that claims are processed and concluded timeously. Requirement - Matric and completed...

  • Warranty Claims

    1 week ago


    Bryanston, South Africa Smith Garb Full time

    Gauteng, Bryanston - 240k - 420k A company based in Bryanston, Sandton is seeking to employ a Warranty Claims Clerk. Must possess automotive dealership experience to be considered. **Specifications**: - Technical focus with a high degree of administrative discipline - Stores workshop experience in a motor dealership - Exceptional communication skills - A...


  • Bryanston, South Africa Eskom Pension and Provident Fund Full time

    **ROLE DESCRIPTION** **Oversee fund administration duties for administrators** - Prepare up to date, accurate, monthly reports and statistics for the Benefits Processing Manager - Maintain the statistical records of members and pensioners and prepare a submission to the EXCO meeting on a monthly basis. - Ensure that audit controls are in place and audit...


  • Bryanston, South Africa Secondments Recruitment Full time

    **Job Advert Summary**: Manage the Benefits Investigation and claims processing function, ensuring the provision of professional support services to the surviving dependants/beneficiaries (for informed allocation of benefits) to the correct beneficiaries in compliance with the Fund rules, Section 37C of the Pension Funds Act and related Acts. Ensure the...


  • Bryanston, South Africa Medpharm Recruitment Full time

    A reputable Medical Aid is seeking an experienced Hospital Claims Auditor to join their team in Bryanston. (SANC registered EN or RN) **Duties**: - Vetting hospital accounts under the guidance of the Gazette - Using clinical guidelines and protocols when vetting accounts - Liaising with other members of the team and other departments - Daily auditing of...

  • Fund Administrator

    6 months ago


    Bryanston, South Africa Eskom Pension and Provident Fund Full time

    **MAINTAIN MEMBER/PENSIONER SYSTEMS DATA** - Prepare member data, according to standard procedure and submit to Home Affairs Department with a request for verification of member and pensioner existence. - Identify invalid records and refer for verification, requesting additional information from member - Send standard letters to the families of the...


  • Bryanston, South Africa SGS Full time

    **Company Description** SGS is the world’s leading inspection, verification, testing and certification company. SGS is recognized as the global benchmark for quality and integrity. With more than 97,000 employees, SGS operates a network of over 2,600 offices and laboratories around the world. **Job Description** MAIN PURPOSE OF THE JOB** - Maintain...


  • Bryanston, South Africa ANGOR Property Specialists Full time

    Location: The Campus Bryanston (Hybrid) / Western Cape (Hybrid) - Salary: R18 000 to R23 000 cost to company - Bonus: Performance based - Job Type: Permanent - Sectors: Accounting, Admin, Finance - Benefits: Pension The Portfolio Administrator reports to the Administrative Manager, and is responsible for administration and query resolution, as well as the...

  • Account Manager

    7 months ago


    Bryanston, South Africa Featherway Recruiting Full time

    CORPORATE ACCOUNTS MANAGER FINANCIAL - New Scheme Implementations - Assist with Member Data and Benefit Summaries for New Business Quotations. - Check and submit installation documents to underwriters/administrators on time. - Monitor and manage the installation process within provider SLA. - Provide employer with detailed breakdown of costs and...


  • Bryanston, South Africa Featherway Recruiting Full time

    **JOB DESCRIPTION** **CORPORATE ACCOUNTS MANAGER** **FINANCIAL** - **New Scheme Implementations** - Assist with Member Data and Benefit Summaries for New Business Quotations. - Check and submit installation documents to underwriters/administrators on time. - Monitor and manage the installation process within provider SLA. - Provide employer with detailed...


  • Bryanston, South Africa Adumo Full time

    **PURPOSE OF THE ROLE** - To ensure that all of our employees are remunerated on time, accurately and within their contractual agreements - To process a small portion of our payroll for one of our subsidiary companies - To be the go-to person for all payroll queries **SKILLS & ATTRIBUTES** - Vision-orientated and purposeful individual - Articulate and great...

  • Member Consultant

    5 months ago


    Bryanston, South Africa INTERCONNECT SYSTEMS Full time

    **Job Purpose** Provide an effective and efficient conduit between ASI Financial Services (ASI) and its clients (i.e. members and appointed representatives of the organisation) through provision of advice, query resolution, administrative service, communication, training and education. **Key Responsibilities** - Demonstrate a good understanding of the...

  • Corporate Consultant

    3 weeks ago


    Bryanston, South Africa ASI Financial Services Full time

    **Job Purpose** Provide an effective and efficient conduit between ASI Financial Services (ASI) and its clients (i.e. members and appointed representatives of the organisation) through provision of advice, query resolution, administrative service, communication, training and education. **Key Responsibilities** - Demonstrate a good understanding of the...


  • Bryanston, South Africa Lamia Consultants Pty ltd Full time

    Our client in the financial health sector requires a Member Consultant to join their dynamic team in Gauteng. Provide an effective and efficient conduit between company Financial Services (company) and its clients (i.e. members and appointed representatives of the organisation) through provision of advice, query resolution, administrative service,...

  • Payroll Coordinator

    7 months ago


    Bryanston, South Africa Tax Consulting South Africa Full time

    **Vacancy: Payroll Coordinator** **Location: Bryanston/George** Qualification & **Required Skills**: - Payroll, Accounting or similar qualification. - 3-5 years Payroll experience. - Experience on SAGE VIP Payroll and/or SAGE 300. - Knowledge of EMP201 returns and EMP501 returns would be advantageous. - Advanced Excel skills non-negotiable. - Strong...

  • Sales Support

    2 weeks ago


    Bryanston, South Africa Dante Personnel Full time

    Gauteng, Bryanston Our Client in the Automotive Industry is seeking a Sales Support to be based in Bryanston **Minimum requirements**: - Must have Matric - Graduate of business-related degree/diploma - Drivers License **Responsibilities**: - Work as a full member of the Sales team. - Understand the Dealer journey experience and be committed to...


  • Bryanston, South Africa PSG Konsult Ltd. Full time

    **Designation**: Employee Benefits Adviser Assistant | Woodmead, Bryanston, Gauteng **Category**: Adviser Development Programme **Job Level**: Skilled technical and academically qualified workers, junior management, supervisors, foremen and superintendents **Posted by**: PSG Financial Services **Posted on**: 26 Aug 2024 **Reference...


  • Bryanston, South Africa H & S Labour Brokers Full time

    **Bryanston** **Financial Services** **R417 211 - R531 518 CTC** Our client is looking for an experienced, due-diligent individual who excels in Customer services. **Duties and responsibilities**: **Engage key representatives of the client to understand their context and needs** **Partner with Employer representatives and HR professionals to identify...

  • Workshop Fore Man

    6 months ago


    Bryanston, South Africa SiG Labour Corporate Full time

    **Workshop Fore Man - Sandton / Bryanston area** **(Detailed CV with ID and contactable references a MUST)** **Background checks will be done** **WORKSHOP FORE MAN** **MAIN PURPOSE OF JOB**: - To ensure service and repair are carried out to the highest standard of quality possible to ensure customer satisfaction. - To ensure efficient use of material,...

  • Legal Manager

    2 months ago


    Bryanston, South Africa INTERCONNECT SYSTEMS Full time

    ASI Financial Services, a leading Level 1 BBBEE Intermediary in the Financial Services Industry, has a position available for a Legal Manager. The Legal Manager will form part of greater Business Enablement Department and will report to the Chief Business Enablement Officer but will also have a direct reporting line to the Chief Visionary Officer. You will...