Disability Claims Assessor

A reputable Medical Aid is seeking an experienced Medical Aid Claims Assessor to join their HBM team in Pretoria. (Office based) **Requirements**: - Grade 12 - Staff/Enrolled or Registered Nurse (SANC) - Minimum 5 years’ experience as a Nursing Practitioner - Minimum 1 year experience gained in the medical funding industry - 1 year Medical Aid claims...

Job RequirementsWe are looking for a skilled Claims Service Manager to join our team. In this role, you will be responsible for managing claims, coordinating with assessors, and ensuring timely communication with clients.Key ResponsibilitiesManage claims from inception to closure, ensuring all required documentation is complete and accurate.Coordinate with...

Job DescriptionWe are looking for a highly organized Short-Term Claims Administrator to join our team. In this role, you will be responsible for managing claims, collaborating with assessors, and ensuring timely communication with clients.Key ResponsibilitiesManage claims from inception to closure, ensuring all required documentation is complete and...

Job Title: Claims Quality Assessor (ADMED) MMH-5We are seeking a highly skilled Claims Quality Assessor to join our Admed department, where your role will be to quality assess all claims processed by the team, ensuring accuracy, completeness, and validity.Key Responsibilities:Quality assessing all claims processed by the Admed claims team in the OWLS...

Role OverviewDigicall Group is seeking a skilled Claims Operations Specialist to manage the claims function within the short-term assessment field. This role requires effective administration and addressing customer needs by providing information, resolving queries, and handling requests.ResponsibilitiesMonitor service level agreements (SLAs) with...

About the Role:At Hr Options, we are seeking a skilled Claims Handler II to join our team. This is an exciting opportunity for individuals who thrive in fast-paced environments and have a passion for delivering exceptional customer service.### Job Description:The successful candidate will be responsible for handling claims from start to finish, ensuring...

About the Role: As a Claims Quality Assessor, you will play a critical role in ensuring the integrity of claims processed by our team.You will be responsible for validating claims data, conducting investigations, and performing quality assessments.Responsibilities:Validating claims data, clinical information, and decision made on the claim.Investigating...

**Remuneration**:to be discussed during the interview process and to be based on commission structure, according to a percentage split between the Consultant and the Company. **Nature of employment**: The successful incumbent will be employed on a permanent basis after completion of a probationary period. **Experience** **Formal education and...

What will you do? non-motor claims by performing investigations, verifying the description of the event with the loss, negotiating with (client, intermediary and service providers) and settlement of claims within a delegated threshold and according to contract conditions. What will make you successful in this role? - Receiving instruction from Claims Service...

About the Opportunity:Are you a results-driven professional with a passion for delivering exceptional customer service? Do you have experience in claims handling and a strong understanding of the short-term insurance industry? If so, we encourage you to apply for the Claims Handler II position at Hr Options.### Job Responsibilities:The successful candidate...

OPPORTUNITY This career opportunity is available for a Non-Motor region and the successful incumbent will be based in Centurion. WHAT WILL YOU DO Receiving instruction from Claims Service Consultant (appraisal notes & docs). Checking completion and correctness of document and policy conditions. Planning routes for claims, make arrangements and contact...

Job OverviewSkillMap is seeking a seasoned Claims Professional to join our team in Bedfordview. As a key member of our claims administration department, you will be responsible for providing exceptional claims advice and administration services to our clients.Key ResponsibilitiesTo provide stakeholders with efficient claims advice and administration...

OPPORTUNITY Santam’s Non-Motor department has a position available for a Scheduler who will be based in Centurion. WHAT WILL MAKE YOU SUCCESSFUL IN THIS ROLE The Scheduler is responsible for allocating claims to Field Assessors. **Key Responsibilities**: Allocate and appoint claims to the assessor in areas Keeping track of claims allocations via the...

Job Reference Number: RBS-118Department: ClaimsIndustry: InsuranceJob Type: PermanentPositions Available: 1Salary: Market RelatedJob DescriptionRole PurposeTo provide stakeholders (e.g. clients, account executives) with efficient claims advice and administration according to the required standards and procedures in support of the business...

**Duties and Responsibilities** - Coordinate the customer service team with the aim of resolving queries efficiently and effectively. - Drive and motivate the customer service team to achieve targets and KPIs. - Provide recommendations to enhance current customer service processes to improve efficiency and find new ways of delivering on the industry...

Hollard Insurance is a leading provider of insurance solutions in South Africa. We are seeking a skilled Claims Administrator to join our team.The successful candidate will be responsible for administrating claims on service plans, maintenance plans and warranties. This includes interacting positively with groups or teams, participating in a learning and...

You will work in the claims department where Medical Top-Up/Gap Cover and Funeral Cover claims are processed.Key Responsibilities:Managing and overseeing the claims processing teamEnsuring accurate and efficient assessment of medical and funeral claimsHandling complex claims and escalationsImplementing best practices and maintaining compliance with industry...

Claims Quality Assessor (ADMED) MMH-5Join to apply for the Claims Quality Assessor (ADMED) MMH-5 role at Guardrisk.Role PurposeAs a Claims Quality Assessor in our Admed department, your role is to quality assess all claims processed by the Admed claims assessors, checking for accuracy, completeness, and validity.RequirementsMatric / Grade 12Basic medical...

Who are we? 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 is centred...

About Sanlam Corporate Our vision is to be the preferred partner to Corporate and Public Sector by providing an awesome client experience and comprehensive solutions that enable the financial resilience and prosperity of those entities and their employees. We believe in creating and cultivating a positive, energised working environment that gives every...