Insurance Claims Examiner
1 day ago
Key Responsibilities:
- Claims Adjudication: Verify claims captured for correctness and compliance, capture/accept additional information on claims, ensure all documents required to process a claim are indexed and filed into the system, add meaningful and accurate notes, and update requirements on claims.
- Claims Management: Manage claims in line with individual targets, review claims in line with process, authority limits, and within agreed timelines, escalate where required within authority limits, manage medical reports for claims with Permanent Disability, communicate claims process to both the employer and employee, and timeously manage workflows and notifications.
- Adjudicate and Process Payments: Adjudicate and process TTD benefits including approval within authority limits, adjudicate and process payment of sundry invoices within authority limits, and process Permanent Disability claims.
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Insurance Claims Specialist
6 days ago
Cape Town, Western Cape, South Africa Santam Insurance Full timeAbout the RoleWe are seeking a highly skilled and experienced Insurance Claims Specialist to join our team at Santam Insurance.This is an exciting opportunity for a professional who is passionate about delivering exceptional customer service and resolving complex claims disputes in a fair and timely manner.Main ResponsibilitiesHandle all types of insurance...
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Field Claims Examiner
3 days ago
Cape Town, Western Cape, South Africa Santam Insurance Full timeKey ResponsibilitiesThe successful candidate will be responsible for:Conducting field validations on claimsReviewing claims documents and photos to validate the claimFinalizing completed validations within agreed turnaround timesIn addition, the successful candidate will handle claim queries within service levels, interact with customers fairly, and...
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Insurance Claims Leadership Position
12 hours ago
Cape Town, Western Cape, South Africa Santam Insurance Full timeClaims Management OpportunitySantam Legal Claims Solutions (LCS) is seeking a qualified Claims Manager to lead a team handling uninsured liabilities claims arising from motor vehicle accidents. This is an exciting opportunity to leverage your expertise in short-term insurance, leadership, and policy knowledge to drive business success.Key responsibilities...
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Insurance Claims Professional Lead
2 days ago
Cape Town, Western Cape, South Africa Santam Insurance Full timeSantam's mission is to provide exceptional customer experiences through Insurance Good and Proper. As a Claims Service Consultant, you will play a critical role in achieving this goal.Main ResponsibilitiesClaim Registration and Decision-MakingEfficient Claim ManagementAssessor Appointment and Settlement NegotiationDaily Estimate Updates and Note...
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Insurance Claims Expert
3 days ago
Cape Town, Western Cape, South Africa Santam Insurance Full timeSantam Insurance aims to become a diverse, inclusive, and equitable workplace by embracing transformation and diversity.Key ResponsibilitiesProcess claims and make informed decisions.Ensure timely management of claims in line with SLA's.Coordinate assessor appointments when necessary.Negotiate settlements with clients.Regularly update estimates and attach...
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Claims Specialist
1 week ago
Cape Town, Western Cape, South Africa Santam Insurance Full timeClaims Specialist - Recovery and Complex Claims Manager: Echelon (JG9)Cape Town, Western Cape, South AfricaThis career opportunity is available at Echelon, a division of Santam, for a Claims Specialist – Recovery and Complex Claims Manager, who will be based in Cape Town.What will make you successful in this role?To be able to work well under pressure with...
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Claims Administration Professional
6 days ago
Cape Town, Western Cape, South Africa Santam Insurance Full timeA career as an Insurance Merit Assessor at Santam offers numerous opportunities for growth and development. In this role, you will be part of a dynamic team responsible for assessing claims and ensuring that customers receive fair and timely settlements.ResponsibilitiesSome key responsibilities of this role include:Receiving and processing claims from...
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Claims Consultant
2 weeks ago
Cape Town, Western Cape, South Africa Hollard Insurance Full timeHello… an exciting new opportunity has just come available in our Hollard Insure, Eastern & Southern Cape Region (George). We are looking to recruit a Claims Consultant.Summary Of Role And ContextProcess all claims assigned, within the set standards required by the company thus contributing to the productivity of the division.Enhance the image of the...
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Insurance Claims Manager
7 days ago
Cape Town, Western Cape, South Africa Unitrans Full time**Job Description:**We are seeking a proactive and detail-oriented individual to join our insurance department as a Claims Specialist. This role involves managing complex claims, investigating incidents, and coordinating with stakeholders to ensure accurate and timely resolution.Key Responsibilities:Process, review, and manage insurance claims related to...
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Insurance Claims Specialist
4 days ago
Cape Town, Western Cape, South Africa Unitrans Recruitment Full timeJob OverviewUnitrans Recruitment is seeking a highly skilled Insurance Claims Specialist to join our dynamic insurance department. This role involves managing claims, influencing broader insurance processes and strategies, and driving excellence in serving internal clients.
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Manager: Complex Claims
2 weeks ago
Cape Town, Western Cape, South Africa Santam Insurance Full timeThe Complex Claims Unit in Bellville requires a well-qualified individual who is proficient in dealing with large, own damage personal and commercial lines short-term claims. We have a position that is based in Bellville, Western Cape.JOB DESCRIPTIONThe Complex Claims Manager is responsible for the handling, coordinating, managing, negotiating, and...
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Motivated Claims Resolution Specialist
6 days ago
Cape Town, Western Cape, South Africa Santam Insurance Full timeSantam Insurance has a position available for a Claims Resolution Specialist who will be based in Cape Town.Job SummaryThe Claims Resolution Specialist is accountable for all direct interactions with clients. Processing of merit claims administration including coordinating and overseeing all actions on claims in this channel.Key ResponsibilitiesReceive claim...
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Claims Manager Director
3 days ago
Cape Town, Western Cape, South Africa Santam Insurance Full timeJob OverviewSantam Insurance is seeking a highly motivated and experienced Regional Claims Relationship Manager in the Motor South Region, based in Cape Town and forming part of the Santam Broker Solutions Team.The successful candidate will be responsible for managing a team of Claims Relationship Managers, ensuring that they are managing and maintaining...
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Claims Consultant
3 days ago
Cape Town, Western Cape, South Africa Santam Insurance Full timeSantam Insurance is the market leader in the general insurance industry in Southern Africa, committed to delivering Insurance Good and Proper.Main FunctionsRegister claims and make merit-based decisions.Manage claims according to SLA's.Appoint assessors when necessary.Negotiate settlements.Provide daily estimate updates and note attachments to the...
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Insurance Merit Assessor
6 days ago
Cape Town, Western Cape, South Africa Santam Insurance Full timeIf you're looking for a challenging and rewarding role that will allow you to grow and develop your skills, consider becoming an Insurance Merit Assessor at Santam.About the RoleThis role involves working closely with our customers to assess claims and provide fair and timely settlements. As an Insurance Merit Assessor, you will be responsible for evaluating...
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Digital Claims Excellence Associate
6 days ago
Cape Town, Western Cape, South Africa Santam Insurance Full timeBecome a key member of our team as an Insurance Merit Assessor at Santam. In this role, you will have the opportunity to grow and develop your skills while making a real difference in the lives of our customers.About the RoleThis role involves working closely with our customers to assess claims and provide fair and timely settlements. As an Insurance Merit...
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Uninsured Liabilities Claims Manager
12 hours ago
Cape Town, Western Cape, South Africa Santam Insurance Full timeAbout the RoleWe are seeking a highly skilled Claims Manager to join our team at Santam Legal Claims Solutions (LCS). The successful candidate will be responsible for leading a team that handles uninsured liabilities claims arising from motor vehicle accidents.This role offers a unique opportunity to apply your expertise in short-term insurance, leadership,...
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Claims Manager Uninsured Liabiilities
1 week ago
Cape Town, Western Cape, South Africa Santam Insurance Full timeClaims Manager Uninsured Liabilities (JG 7)Cape Town, Western Cape, ZASantam Legal Claims Solutions (LCS) has a position available for a CLAIMS MANAGER who will be based in CAPE TOWN, TYGERVALLEY HEAD OFFICE.JOB DESCRIPTIONThe position requires leadership skills and experience in short term insurance, specifically in a Legal Claims environment, as well as...
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Policy Claims Assessor
5 days ago
Cape Town, Western Cape, South Africa Measured Ability Full timeJob DescriptionWe are looking for a highly skilled Policy Claims Assessor to join our team at Measured Ability. In this role, you will be responsible for evaluating policy claims, ensuring compliance with regulations, and maintaining accurate records.About the Position:The successful candidate will have extensive knowledge of medical aid operations and...
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Insurance Claims Administrator
3 days ago
Cape Town, Western Cape, South Africa Santam Insurance Full timeJob DescriptionThis role involves providing excellent customer service and ensuring that clients receive the support they need throughout the claims process.You will work closely with internal stakeholders to ensure seamless communication and effective issue resolution, developing and maintaining strong relationships with clients and colleagues.The ideal...