Claims Investigator Specialist

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...

Job DescriptionThe purpose of this position is to assess and determine the merit of segmented motor claims by conducting thorough investigations, verifying the event description with the loss, and ensuring that all valid claims are processed within the specified Service Level Agreement (SLA) from the desk. This role requires identifying problematic claims...

About the PositionThis is an exciting opportunity to join Santam's Motor Claims department as a Desktop Merit Consultant.As a successful candidate, you will be responsible for determining the merit of segmented motor claims by performing investigations, verifying the description of the event with the loss, and ensuring that all valid claims are processed...

Job title : Officer: Claims InvestigationJob Location : Gauteng, JohannesburgDeadline : April 27, 2025Quick Recommended LinksJobs by Location Job by industries Key Performance Areas Investigation and Assessment of Claims lodgedTrace insured driver / witnesses to consult and obtain statements and docket Ensure that a proper sketch plan of an accident scene...

Job Description:We are seeking a skilled Property Claims Specialist to join our team in Centurion. The successful candidate will be responsible for determining the quantum and merit of non-motor claims by performing investigations, verifying event descriptions, negotiating with clients and intermediaries, and settling claims within delegated thresholds.The...

Job title : Claims Specialist : Technical Trainer JHB (JG7)Job Location : Gauteng, JohannesburgDeadline : March 07, 2025Quick Recommended LinksJobs by Location Job by industries KEY RESPONSIBILITIESProvide ongoing Technical and Operational training (technical, claims procedure for existing staff and new appointments) as required. Ensure compliance to...

About the RoleThis Senior Investigations Lead position involves overseeing the claims investigation process and ensuring that it is conducted efficiently and effectively. The ideal candidate will have a strong background in investigations and leadership, with the ability to motivate and inspire team members.Duties & ResponsibilitiesTechnical expertise in...

Santam Insurance is committed to providing excellent customer service and ensuring that all claims are thoroughly investigated and processed efficiently.About the JobThe successful candidate will be responsible for investigating claims, interacting with customers, and developing relationships with external stakeholders.Key ResponsibilitiesConduct thorough...

Job DescriptionTalentCru is seeking a highly skilled Senior Claims Assessor to join their team in the telecommunications industry. This individual will play a crucial role in evaluating and processing death, critical illness, disability, and incapacity claims.Key Responsibilities:Evaluating the validity of claims and ensuring they meet stipulated criteria...

Job OverviewWe are seeking a highly skilled Forensic Specialist to join our team at Network Recruitment. This is an exciting opportunity for a talented individual to lead forensic investigations, detect fraudulent activities, and enhance compliance frameworks.About the JobExpose and prevent fraud by leading forensic investigations and minimizing...

Job DescriptionWe are seeking an experienced Senior Claims Manager to lead a team of claims investigators in the Financial Services industry. This is a challenging opportunity that requires strong leadership skills, technical expertise, and excellent communication abilities.ResponsibilitiesTechnical expert whose primary focus is driving a team of desktop...

Key ResponsibilitiesThe successful candidate will be responsible for:Evaluating and processing commercial insurance claims in accordance with company policies and procedures.Conducting thorough investigations to determine the validity and extent of claims.Negotiating settlements with policyholders and insurers to achieve favorable outcomes.Maintaining...

Hollard Insure is looking to recruit a Claims Specialist for a 12 months graduate programme in our Specialised Claims Services Department (Operations).The role involves learning how to manage the end-to-end negotiation and settlement of Third Party Claims, pre litigation by ensuring operational efficiencies and quality service delivery. Key responsibilities...

About the RoleSantam's Motor Claims department is seeking a highly skilled and motivated Desktop Merit Consultant to join their team in Hill On Empire, Parktown.This role is responsible for determining the merit of segmented motor claims by performing investigations, verifying the description of the event with the loss, and ensuring that all valid claims are...

As a Medical Claims Specialist with Qetello Holdings in Johannesburg, you will play a crucial role in assisting our client, a leading claims administrator in the area, with Private and medical aid claims.Key ResponsibilitiesImplement credit control procedures for specialist doctors and Allied Professionals in accordance with our credit control/debt...

Stay safe online. Now more than ever it's important to be cybersafe. See Santam's tips to help you stay safe online. Learn more.Santam's Merit Claims department has positions available for a Motor Merit Field Investigator based in Hill On Empire, 16 Empire Rd, Parktown, Johannesburg.JOB DESCRIPTIONThe Merit Field Investigator will ensure that all flagged...

About the TeamThe Investigations Management Position involves leading a team of investigators to drive results and maintain quality standards within the claims investigation process. The ideal candidate will have a strong background in investigations and leadership, with the ability to motivate and inspire team members.Key ResponsibilitiesLead a team of...

We are looking for a skilled Claims Assessment Specialist to join our team at Zensar Technologies. As a Claims Assessor, you will provide specialist advice and support in the generation and provision of reliable claims assessment activities.The ideal candidate will have a strong understanding of insurance products and services, as well as the ability to...

Job DescriptionThe Claims Leadership Role involves managing a team of investigators to drive results and maintain quality standards within the claims investigation process. The ideal candidate will have a strong background in investigations and leadership, with the ability to motivate and inspire team members.Key ResponsibilitiesLead a team of investigators...

Energy at Work seeks a skilled Claims Management Specialist to join our team. As a Claims Conqueror Extraordinaire, you will be responsible for registering and managing claims with accuracy and flair.Key Responsibilities:Register claims with the highest level of precision and speed.Negotiate with suppliers and adjustors to ensure seamless claim...