Healthcare 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,...

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...

SENIOR COMPLEX CLAIMS EXAMINER Who we are American International Group, Inc. (AIG) is a leading global insurance organization. Building on 100 years of experience, today AIG member companies provide a wide range of property casualty insurance, life insurance, retirement solutions, and other financial services to customers in more than 80 countries and...

About the RoleThis is an exciting opportunity for a highly skilled Healthcare Claims Investigator to join our team. As a Clinical Risk Manager - Insurance Industry, you will be responsible for conducting thorough pre-payment claim audits to ensure accuracy and prevent potential fraud.Key Responsibilities:Carry out thorough investigations into suspicious...

We are seeking a skilled Healthcare Claims Expert to join our remote team at ISTA Personnel Solutions South Africa, a global BPO company partnering with a U.S.-based client in the healthcare sector.The ideal candidate will have a strong background in the U.S. healthcare industry and excellent problem-solving abilities.Main Requirements:Exceptional English...

About the RoleWe are seeking a highly skilled Healthcare Adjudication Expert to join our team at Rand Mutual Admin Services. As a Clinical Claims Adjudicator, you will play a crucial role in ensuring the effective and efficient adjudication of disease and accident claims in line with COID Act and Non-COID VAPS policies.Key Responsibilities:Claims processing...

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...

We are looking for an experienced Healthcare Claims Processor to join our team in Johannesburg. The successful candidate will be responsible for assessing and administering registered claims in accordance with the Compensation for Occupational Injuries and Diseases Act.The ideal candidate will possess excellent computer skills, strong analytical and...

Job RoleThis position involves assessing motor claims, managing claims processes, and communicating with clients. The ideal candidate will possess strong analytical skills and be able to work effectively in a team environment.Key ResponsibilitiesEvaluate damage and assess its impact on vehicle value.Negotiate with clients and service providers to resolve...

**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...

**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...

**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...

Introduction: As a 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. Description: THE JOB AT A GLANCE As a Claims Assessor, you will be reporting to the Team Leader:...

Who we are American International Group, Inc. (AIG) is a leading global insurance organization. Building on 100 years of experience, today AIG member companies provide a wide range of property casualty insurance, life insurance, retirement solutions, and other financial services to customers in more than 80 countries and jurisdictions. These diverse...

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...

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,...

**Who are we?** Safrican is a respected life insurer with a footprint in SA and a subsidiary in Eswatini. Safrican has over 2 million principle lives covered and more than 7 million lives assured, the company has grown from strength to strength since 2004. **What will you do?** - Under general supervision and within company guidelines will research,...