Claims Negotiator

We are seeking a skilled and detail-oriented individual to fill the position of Medical Claims Negotiator at HR Studio.The successful candidate will be responsible for negotiating with out-of-network providers to ensure cost-effective service delivery, accurately performing data entry, and documenting related to the repricing of medical claims.Key...

We're looking for a skilled professional to join our team at HR Studio as an Out-of-Network Claims and Negotiations Coordinator.This role involves working with out-of-network providers to negotiate fees and rates, ensuring cost-effective service delivery. The ideal candidate will have excellent communication skills, be able to make informed decisions, and...

We’re looking for… A Provider Contracting and Negotiating Specialist who will be responsible for working on behalf of the client to negotiate their out of network claims when applicable. You will work directly with out of network providers to work out a single case agreement/fee or direct contract for submitted medical claims. Who are you? - You can...

Gauteng, Sandton - Annually Cost To Company (Market related, Negotiable) The claims controller will 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...

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...

Co-ordinate and oversee, manage negotiate and settle personal lines and commercial claims and account for the finalisation of the claim end-to-end. Delegate authority to manage the process and resolve any conflict by a negotiating, settlement, and finalisation functionality. Administer and validate claims correctly and efficiently within the specifications...

Key Responsibilities:Your role will involve maintaining claims standards and providing quality client service:Register motor / non motor claims for personal and commercial policiesAppoint assessors and confirm cover is sufficientResponsible for handling and settling of claims for allocated clients and ensuring accurate capturing and updating on all data...

**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,...

**Introduction** - To manage a portfolio of liability claims and recoveries and to provide ad hoc technical advice to stakeholders.**Role Purpose** - To manage a portfolio of liability claims and recoveries and to provide ad hoc technical advice to stakeholders.**Requirements**: - Matric - 60 FAIS Credits - Computer literacy(MS Word, Outlook and Excel) - At...

**CLAIMS & fines ADMINISTRATOR** Must have experience as a claim administrator, worked with insurance companies Be-able to negotiate prices Work well under pressure Computer literate Good communication skills and can think for themselves Basic R12000.00 **Job Type**: Permanent Pay: Up to R12 000,00 per month

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...

**Introduction** - To manage a portfolio of motor liability claims and to provide ad hoc technical advice to stakeholders.**Disclaimer** - As an applicant, please verify the legitimacy of this job advert on our company career page.**Role Purpose** - To manage a portfolio of motor liability claims and to provide ad hoc technical advice to...

**Introduction** - To attend to day to day motor and non-motor claims handling across various products and to provide supervisory oversight over a defined area.**Role Purpose** - To attend to day to day motor and non-motor claims handling across various products and to provide supervisory oversight over a defined area.**Requirements**: - Matric - Computer...

**Introduction** - To attend to day to day and non-motor claims handling across various products and to provide supervisory oversight over a defined area.**Disclaimer** - As an applicant, please verify the legitimacy of this job advert on our company career page.**Role Purpose** - To attend to day to day and non-motor claims handling across various products...

A well established company based in Sandton is seeking a Claims and Fines Administrator Duties: Timeous and accurate capturing of claims Scanning and filing of paper claims Informing customers / providers regarding unclear / incomplete invoices via appropriate methods (e-mail and in writing / telephonically) Answering phones and resolving claim queries...

**Introduction** - To attend to day to day and non-motor claims handling across various products and to provide supervisory oversight over a defined area.**Disclaimer** - As an applicant, please verify the legitimacy of this job advert on our company career page.**Role Purpose** - To attend to day to day and non-motor claims handling across various products...

Job Summary: We are seeking a highly skilled Insurance Claims Examiner to join our team at PPS Recruitment.Key Responsibilities:Assess and moderate various types of Short-Term Insurance claims.Audit claims to determine the extent of the insurance company's liability.Negotiate settlements with claimants as necessary.Utilize strong analytical skills to manage...

**Introduction** - To diligently attend to day to day and Accident and Health claims handling across various products and to provide supervisory oversight over a defined area within the short-term claim’s environment.**Role Purpose** - To diligently attend to day to day and Accident and Health claims handling across various products and to provide...

**Introduction** To manage a portfolio of salvage matters (motor and non-motor) with salvage service providers and assisting the claims department in finalising all salvage matters. **Role Purpose** To manage a portfolio of salvage matters (motor and non-motor) with salvage service providers and assisting the claims department in finalising all salvage...

**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,...