Claims Specialist
4 weeks ago
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 outcomes.
Key Responsibilities:- Coordinate and manage claims from start to finish
- Negotiate and settle claims with policyholders and third-party providers
- Administer and validate claims to ensure compliance with company policies and procedures
- Utilize negotiation and settlement skills to resolve conflicts and achieve successful outcomes
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Claims Specialist
1 month ago
Sandton, South Africa Sanlam Full time**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,...
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Claims Resolution Specialist
4 weeks ago
Sandton, South Africa PPS Recruitment Full timeJob 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...
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Medical Claims Specialist
2 weeks ago
Sandton, South Africa HR Studio Ltd Full timeWe 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...
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Senior Claims Specialist
2 weeks ago
Sandton, South Africa PPS Recruitment Full timeClaims Assessment and Management RoleThis position reports to the Team Manager Claims and is responsible for the assessment and management of long-term Sickness, Permanent Incapacity, and Disability claims. The successful candidate will transfer specialist claims knowledge, in-depth process knowledge, and client-centric principles.Main Responsibilities:Deal...
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Warranty Claims Specialist
4 weeks ago
Sandton, South Africa Motus Corporation Full timeJob 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...
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Senior Claims Specialist
4 weeks ago
Sandton, South Africa PPS Recruitment Full timeJob 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...
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Claims Assessor Specialist
1 month ago
Sandton, South Africa Discovery Ltd. Full time**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...
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Claims Processing Specialist
5 days ago
Sandton, South Africa HR Studio Full timeAbout the RoleWe're seeking a skilled Claims Processing Specialist to join our team at HR Studio. This is a full-time opportunity with a competitive salary.
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Senior Claims Specialist: Motor
6 months ago
Sandton, South Africa Sanlam Full time**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,...
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Senior Medical Claims Specialist
18 hours ago
Sandton, South Africa HR Studio Full timeAbout the RoleWe're seeking a highly skilled and experienced Senior Medical Claims Specialist to join our team at HR Studio. This is a challenging opportunity for an individual with excellent negotiation and communication skills to work closely with out-of-network providers to secure cost-effective service delivery.
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Sandton, South Africa Placement Point Full timeJob SummaryWe are seeking a highly organized and detail-oriented Senior Claims and Payment Resolution Specialist to join our team at Placement Point.About the RoleThis is a challenging opportunity for an experienced claims administrator to utilize their expertise in processing claims, negotiating prices, and resolving customer inquiries. The ideal candidate...
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Medical Claims Examiner
3 weeks ago
Sandton, South Africa HR Studio Full timeWe are seeking a skilled Medical Claims Examiner to join our team at HR Studio.The ideal candidate will have a strong background in medical claims processing and be able to analyze claims to identify key elements and processing requirements.The Claims Processing Specialist will be responsible for reviewing assigned claims or requests from a queue,...
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Senior PI Claims Assessor
3 months ago
Sandton, South Africa PPS Recruitment Full timeThis 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...
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Crop Claims Analyst
1 week ago
Sandton, South Africa Land Bank Careers Full timeAbout the RoleWe are seeking a highly skilled Crop Claims Analyst to join our team at Land Bank Careers. As a key member of our claims function, you will be responsible for managing claims efficiently and driving down loss ratios.Key ResponsibilitiesTo support the claims function in managing claims efficiently, driving down loss ratios and optimising crop...
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Medical Claims Specialist
4 weeks ago
Sandton, South Africa PPS Recruitment Full timeSenior 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...
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Disability Claims Specialist
3 weeks ago
Sandton, South Africa Hollard Recruitment Full timeDisability Claims Assessor OpportunityWe are seeking a skilled Disability Claims Assessor to join our Wellness Department at Hollard Group Risk. The successful candidate will be responsible for assessing, reviewing, and managing Capital Disability, Dread Disease, and Income Disability claims.Key Responsibilities:Assess claims consistently and ensure that...
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Claims Appeals Specialist
4 weeks ago
Sandton, South Africa HR Studio Full timeJob Title: Claims Appeals Call Centre AgentWe're seeking a highly skilled and detail-oriented Claims Appeals Call Centre Agent to join our team at HR Studio.About the Role:This is a challenging and rewarding role that requires strong analytical and communication skills. As a Claims Appeals Call Centre Agent, you will be responsible for analyzing and...
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Non-Motor Claims Assessor
11 hours ago
Sandton, South Africa Neptune Full timeHello… an exciting new opportunity has just become available in our Operations, Motor Claims area. We are looking to recruit a Non-Motor Claims Assessor. Role Objectives:To effectively validate, adjust and report on assigned claims. Ensure containment of claims spend and provide fair & timeous claims settlement by benchmarking a culture of best...
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Death Claims Specialist
2 months ago
Sandton, South Africa Momentum Corporate Full time**Introduction**Disclaimer** - As an applicant, please verify the legitimacy of this job advert on our company career page.**Role Purpose** - Reporting for the Death Claims Committee and admin related issues to ensure that death claims are paid within the Service Level Agreement.**Requirements**: **Experience and Qualifications: - Matric. - Certificate of...
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Medical Claims Processing Specialist
3 weeks ago
Sandton, South Africa HR Studio Ltd Full timeAbout the Role:We are seeking a highly skilled Claims Analyst to join our team at HR Studio Ltd.The ideal candidate will have extensive experience in medical claims processing, including knowledge of medical terminology and working in a production environment.Key Responsibilities:Review assigned claims or requests from a queue, maintaining a set inventory...