Claims Assessor
4 weeks ago
We are seeking a highly skilled GAP Claims Assessor to join our team at Status Staffing. As a key member of our team, you will be responsible for assessing and validating GAP claims, ensuring that our clients receive accurate and timely resolutions.
Key Responsibilities:- Validate and assess GAP claim documents, ensuring accuracy and completeness
- Follow the claims process, capturing claim information onto our system
- Verify and update client personal information changes on our system policy record
- Assess claim validity in accordance with policy terms and conditions, making relevant claim notes on our system
- Ensure client claim expectations are met, applying TCF principles and communicating effectively with clients or brokers
- Meet daily minimum claim targets with high accuracy and within service turnaround time
- Process high-priority and escalated claims within 2 hours, interacting with medical aids, hospitals, and medical practitioners as needed
- 2 years' experience in a similar role
- Insurance industry experience (essential)
- Medical Aid claims processing and administration experience (essential)
- Ability to work well under pressure
- Commitment to meet daily targets
- Self-motivated
- Good written and verbal communication skills
- Good negotiation skills
- Good understanding of how medical aids work and operate
- Intermediate MS Office skills, especially Excel, Word, and Microsoft Outlook
- Good time management skills
- Works well in a team and independently
- Copes well with pressure and setbacks
- Pro-active and uses initiative
- 08:00 – 17:00, Monday to Friday
If you meet the requirements, please apply on our website at www.statusstaffing.com today. We will retain your credentials for future similar roles.
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