Case / Claim Manager

The Marine/ Engineering Claims Specialist’s role is to, with limited supervision, manage the non-standard complex claims (high severity/complexity) in the most effective, efficient way whilst delivering a customer centric claims service in a manner which supports Bryte Basics. Key Tasks & Accountabilities - Promptly handle marine claims and take...

The Marine Claims Specialist’s role is to, with limited supervision, manage the non-standard complex claims (high severity/complexity) in the most effective, efficient way whilst delivering a customer centric claims service in a manner which supports Bryte Basics. Key Tasks & Accountabilities - Promptly handle marine claims and take responsibility to...

3Sixty Health has a great opportunity for a suitably qualified individual to fulfil the advertised position **3SIXTY HEALTH **and join their team. **BACKGROUND ** 3Sixty Health is a black owned and managed, reputable and a major player in driving South African economy by investing in ‘’black excellence’’3Sixty Health is 100% black owned and black...

What will you do? This career opportunity is available at SHA Risk Specialists a division of Santam for a Claims Specialist: Casualty Claims, who will be based in Johannesburg: Illovo. What will make you successful in this role? Claims Practice Management Attend and manage all aspects related to a portfolio of specialist claims such as claims registration,...

Bring your possibility to life! Define your career with us - With over 100 years of rich history and strongly positioned as a local bank with regional and international expertise, a career with our family offers the opportunity to be part of this exciting growth journey, to reset our future and shape our destiny as a proudly African group.Job Summary To...

**Finance/Accounting** **Johannesburg - Gauteng** ***: **MANAGER : CLAIMS PROCESSING** Our client is looking for an experienced Manager: Claims Processing to join their team **MAIN PURPOSE OF THE ROLE**: Manage the Benefits Investigation and claims processing function, ensuring the provision of professional support services to the surviving...

Opportunity in a premier commercial risk insurance company awaits you, to handle complex claims with expertise. You will be responsible for promptly handling marine claims, resolving all related enquiries, and developing a claims case strategy to ensure that appropriate reserves are assigned, investigations conducted, and appropriate suppliers engaged. You...

Position Overview The Claims Consultant assesses and manages claims effectively and efficiently, within the required SLA, ensuring optimal profitability of the business. Responsibilities Claims assessment and management of Individual Life claims across all benefit types, for the South African operation, as well as other benefits relevant to the...

Role Title: Case Manager Role Summary: Are you a healthcare professional looking to make a significant impact in patient care and financial risk management? If so, we have an exciting opportunity for you to join the team of a private hospital based in Gauteng as a Case Manager. In this role, you will leverage your clinical knowledge and expertise to ensure...

**Job Advert Summary**: This role reports to the Team Manager Claims. Responsible for assessment and management of long-term Sickness, Permanent Incapacity and Disability claims. The role will transfer specialist claims knowledge, in-depth process knowledge and client centric principles. The incumbent will deal with technical and complex claims queries...

One of our leading clients offering comprehensive financial solutions that include bond pre-approvals, home loans, short-term insurance, life insurance and more through its various subsidiaries is looking to build their Dream team with the Right People. JOB PURPOSE: As Business Claims Specialist you will provide support to the Product Manager, reviewing...

What youll be doing if you get the job: The purpose of this role is responsible to drive the formulation and implementation of the risk model and underwriting philosophy, analyse claims and other data when assessing claims. Providing feedback on all claims, liaising with relevant stakeholders, and utilise their skills, knowledge and experience to make...

What youll be doing if you get the job: The purpose of this role is responsible to drive the formulation and implementation of the risk model and underwriting philosophy, analyse claims and other data when assessing claims. Providing feedback on all claims, liaising with relevant stakeholders, and utilise their skills, knowledge and experience to make...

Exciting opportunity in Gauteng! Looking for a someone that will be responsible for the liaison between the patients and managed healthcare. **Requirements**: - B Degree Nursing Qualification or equivalent NQF level 6 - Hospital case manager experience advantageous - 3 years’ experience in patient care - SAP experience preferrable

The Claims Manager is responsible for the overall management of the claims department. The duties include, managing, planning, monitoring and reporting. Providing assistance to Client Services, the Call Centre, Claims team, employers and external service providers. The Claims Manager reports to the Snr Manager PSSPF.Areas of ResponsibilitiesMeet production...

**Job Advert Summary**: This role reports to the Team Manager Claims. Responsible for assessment and processing of short-term Sickness, Critical Illness and Hospital claims. The incumbent will deal with technical and complex claims queries and/or complaints providing an excellent service offering. **Minimum Requirements**: **Education**: - Medical...

**What will you do?** - 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...

A Medical Insurance company based in Benoni is looking for a Manager to Manage the Pre-Auth and Claims department. The Manager will manage the accurate and timely processing of claims within established legal and company compliance guidelines. Manage the pre-authorisation department and facilitate the process of pre-authorisation as per requests from members...

Responsibilities and work outputs Contribute to the ongoing enhancement and execution of the claims assessment methodology across Critical Illness, Income Protection and Lump Sum Disability benefit lines.Approves or declines claim submissions without supervision within company guidelines.Selects and accepts major risks on behalf of the company, evaluating...

**Relocate to Cape Town German Claims Handler (Insurance)** Our Client is the World’s leading medical assistance and claims handling companies who process cases around the globe. They have a unique gateway to a comprehensive worldwide provider network, local-know how, assistance and cost containment for travel insurance, health insurance and corporate...