Senior Claims Specialist

**What will you do?** - We have an exciting opportunity for a **Senior Claims Specialist: Motor** within **SHA Risk Specialists**.**What will make you successful in this role?** **Claims Portfolio** - Attend to all aspects related to a portfolio of claims e.g. new claims, current files, diary, mail, recoveries, third party claims, attorney matters,...

Job Summary: We are seeking a skilled Claims Assessment and Management Professional to join our team at PPS Recruitment. The successful candidate will be responsible for assessing and managing long-term Sickness, Permanent Incapacity, and Disability claims.Key Responsibilities:Assess and manage long-term Sickness, Permanent Incapacity, and Disability...

Job Title: Claims Specialist - Construction & EngineeringWe are seeking a highly skilled Claims Specialist to join our Construction & Engineering Team in Cape Town. As a Claims Specialist, you will be responsible for managing specialized claims, ensuring adherence to company standards, and contributing to the growth and profitability of Hollard.Key...

We have an exciting opportunity for the Claims Specialist within SHA Risk Specialists. What will make you successful in this role? Key responsibilities: Claims Practice Management: - Attend and manage all aspects related to a portfolio of specialist claims such as claims registration, case management, drafting, diary, recoveries, and settlement...

**What will you do?** - We have an exciting opportunity for the Claims Specialist within SHA Risk Specialists.**What will make you successful in this role?** **Key responsibilities**: **Claims Practice Management**: - Attend and manage all aspects related to a portfolio of specialist claims such as claims registration, case management, drafting, diary,...

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. We have an exciting opportunity for the Claims Specialist within SHA Risk Specialists. What will make you successful in this role? Key responsibilities: - Attend and manage all aspects related to a portfolio of specialist...

What will you do? We have an exciting opportunity for the Claims Specialist within SHA Risk Specialists. What will make you successful in this role? Key responsibilities: Claims Practice Management: Attend and manage all aspects related to a portfolio of specialist claims such as claims registration, case management, drafting,...

Hello… an exciting new opportunity has just become available in our Insure, Specialist Lines.  We are looking to recruit a Claims Specialist in the Construction & Engineering Team CPT. Role Objectives:To Manage all specialised claims assigned, within the set standards required by the company thus contributing to the productivity of the claims...

Job SummaryThe Claims Resolution Specialist will be responsible for assessing and resolving various types of Short-Term Insurance claims. This role includes auditing claims, determining the extent of the insurance company's liability, and negotiating settlements with claimants as necessary.Key ResponsibilitiesAuditing claims to determine the extent of the...

Job Title: Senior Medical AssessorThe role will be responsible for assessing and managing claims in accordance with policy terms and conditions. The successful incumbent will be accountable for claims processes and procedures, and will assist in formulating return to work plans or engaging the services of accredited professionals as necessary. Additionally,...

We are seeking an experienced Medical Claims Specialist to join our team at HR Studio Ltd. The ideal candidate will possess excellent analytical skills and have a strong understanding of medical terminology.The Medical Claims Specialist role involves processing medical claims efficiently and accurately, ensuring timely adjudication and resolution of pending...

Job PurposeTo ensure business and dealer operational compliance with specific rules and policies, we are seeking a Warranty Claims Specialist to provide effective warranty claims analysis and validation services.Key ResponsibilitiesValidate warranty claims to ensure compliance with company policies and procedures.Provide advice and support to business and...

Claims Assessor Specialist Business Unit: Vitality Life Function: Claims Administration Date: 11 Oct 2024 About Discovery VitalityLife Discovery’s core purpose is to make people healthier and to enhance and protect their lives. We seek out and invest in exceptional individuals who understand and support our core purpose, and whose own values align...

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 and/or complaints providing...

**Business Unit**:Vitality Life**Function**:Claims Administration**Date**:11 Oct 2024Discovery - VitalityLife - Claims Assessor - Specialist - About Discovery VitalityLife - Discovery’s core purpose is to make people healthier and to enhance and protect their lives. We seek out and invest in exceptional individuals who understand and support our core...

Senior Medical Assessor RoleThe successful candidate will be responsible for managing claims in accordance with policy terms and conditions. They will be accountable for claims processes and procedures, and will work with stakeholders to develop return to work plans as needed. The ideal candidate will have a strong understanding of claims management and will...

Position Overview: We are seeking a dedicated Claims Processing Specialist who will ensure the efficient and precise handling of claims. This role involves conducting thorough research and managing claims or related inquiries for our covered members and providers across a variety of healthcare products, including medical, pharmacy, and vision services. Key...

About the RoleWe're seeking a skilled and detail-oriented Claims Negotiation Specialist to join our team at HR Studio. As a key member of our operations team, you will play a critical role in ensuring the timely and accurate resolution of out-of-network claims.Key ResponsibilitiesInitiate contact with out-of-network provider offices to negotiate fees and...

Oversee and manage the entire claims process, from initial assessment to final settlement. Ensure that all claims are handled efficiently and in accordance with PPS Short-Term Insurance Company's policy terms and conditions. Administer and validate claims correctly, utilizing negotiation and settlement skills to resolve conflicts and achieve successful...

Position Overview: We are seeking a dedicated Appeals Specialist who will be responsible for evaluating and addressing both verbal and written claims and authorization appeals. This role involves collaborating with healthcare providers and members to ensure timely and accurate responses while maintaining meticulous records of all appeals. Key...