Current jobs related to Senior Claims and Case Handling Manager - Pretoria, Gauteng - Medical Protection Society


  • Pretoria, Gauteng, South Africa Santam Full time

    Career OpportunitySantam is seeking a highly professional and driven individual to assume the role of leading the Claims Technical Advice team, based in Centurion, Pretoria. The position reports to the Head: Quality and Knowledge Management.Job DescriptionThe successful candidate will be responsible for:Driving the claims strategy by exploring and...

  • Case Manager

    3 weeks ago


    Pretoria, Gauteng, South Africa Oasis Healthservices Full time

    Job Title: Case ManagerWe are seeking a highly skilled Case Manager to join our team at Oasis Healthservices. As a Case Manager, you will play a critical role in ensuring the financial and clinical risks of patients in our general ward are managed effectively.Key Responsibilities:Ensure accurate coding and clinical updates to achieve strategic...


  • Pretoria, Gauteng, South Africa Qetello Holdings Full time

    Job Title: Senior Case CoordinatorAbout the Role:The Senior Case Coordinator will play a vital role in ensuring the timely and efficient management of cases within the medical scheme. This includes planning and optimizing daily tasks, following up on long-term and high-cost cases, and identifying the need for patient and hospital visits.Key...


  • Pretoria, Gauteng, South Africa Santam Full time

    About the RoleThe Claims Technical Advice Manager will be responsible for driving the claims strategy by exploring and implementing effective operational processes and ensuring alignment between the claims business needs and the rest of the stakeholders.Key ResponsibilitiesDrive the claims strategy by exploring and implementing effective operational...


  • Pretoria, Gauteng, South Africa Santam Full time

    Career Opportunity SummarySantam is seeking a highly professional and driven individual to assume the role of Claims Technical Advice Manager within the Claims Technical Advice department.Key Responsibilities:Drive the claims strategy by exploring and implementing effective operational processes and ensuring alignment between claims business needs and...

  • Claims Specialist

    5 days ago


    Pretoria, Gauteng, South Africa People Dimension Full time

    Job Title: Commercial Claims ConsultantAs a Commercial Claims Consultant at People Dimension, you will be responsible for handling commercial claims, ensuring confirmation of cover, and reporting claims effectively. Your primary goal is to provide exceptional customer service, ensuring timely and accurate claims management and settlement.Key...

  • Case Manager

    4 weeks ago


    Pretoria, Gauteng, South Africa Qetello Holdings Full time

    Job Title: Case ManagerOur client, a leading medical scheme based in Pretoria, is seeking a dedicated and experienced Case Manager to join their team. As a Case Manager, you will play a crucial role in ensuring the timely and efficient management of cases, providing exceptional service to members, and contributing to the growth and success of the medical...


  • Pretoria, Gauteng, South Africa Santam Full time

    Job Title: Claims Technical Advice ManagerSantam is seeking a highly skilled and experienced Claims Technical Advice Manager to join our team. As a key member of our Claims Technical Advice department, you will be responsible for driving the claims strategy and ensuring alignment between claims business needs and stakeholders.Key Responsibilities:Develop and...

  • Case Manager

    1 month ago


    Pretoria, Gauteng, South Africa Qetello Holdings Full time

    Job Title: Case ManagerWe are seeking a dedicated and experienced Case Manager to join our team at Qetello Holdings. As a Case Manager, you will play a critical role in ensuring the timely and effective management of healthcare benefits for our members.Key Responsibilities:Plan and optimize daily tasks to ensure timely updates of cases on the hospital...


  • Pretoria, Gauteng, South Africa People Dimension Full time

    {"title": "Commercial Claims Consultant", "description": "Job SummaryWe are seeking a highly skilled Commercial Claims Consultant to join our team at People Dimension. As a Commercial Claims Consultant, you will be responsible for handling commercial claims, ensuring confirmation of cover, and communicating with clients and stakeholders.Key...


  • Pretoria, Gauteng, South Africa People Dimension Full time

    Job Title: Commercial Claims ConsultantWe are seeking a highly skilled Commercial Claims Consultant to join our team at People Dimension. As a Commercial Claims Consultant, you will be responsible for handling commercial claims, ensuring confirmation of cover, and communicating with clients and stakeholders.Key Responsibilities:Handle commercial claims,...

  • Case Manager

    3 weeks ago


    Pretoria, Gauteng, South Africa Qetello Holdings Full time

    Job Title: Case ManagerWe are seeking a highly skilled and experienced Case Manager to join our team at Qetello Holdings. As a Case Manager, you will play a critical role in ensuring the smooth operation of our medical scheme, providing exceptional service to our members, and driving business growth.Key Responsibilities:Plan and optimize daily tasks to...


  • Pretoria, Gauteng, South Africa People Dimension Full time

    Job SummaryWe are seeking a highly skilled Commercial Claims Consultant to join our team at People Dimension. As a Commercial Claims Consultant, you will be responsible for handling commercial claims, ensuring confirmation of cover, and communicating with clients and other parties involved in the claims process.Key ResponsibilitiesHandle commercial claims,...


  • Pretoria, Gauteng, South Africa Santam Full time

    Job Title: Claims Technical Advice ManagerSantam is seeking a highly skilled and experienced Claims Technical Advice Manager to join our team. As a Claims Technical Advice Manager, you will be responsible for driving the claims strategy, exploring and implementing effective operational processes, and ensuring alignment between claims business needs and...


  • Pretoria, Gauteng, South Africa MediHelp Full time

    Job Title: Medical Aid Case ManagerLocation: Tshwane Metro, Pretoria, BrooklynJob Type: Permanent, expected to work Full-Time hoursPrimary Industry: InsuranceSecondary Industry: Health, Medical and relatedJob Duties:Plan and optimize daily tasks to update cases on the hospital list within the 8-hour turnaround timeFollow up on long-term and high-cost cases...

  • Case Manager

    1 month ago


    Pretoria, Gauteng, South Africa MediHelp Full time

    Job Title: Case Manager - Medical AidMediHelp is seeking a skilled Case Manager to join our team in Tshwane Metro, Pretoria, Brooklyn. As a Case Manager, you will play a crucial role in ensuring the smooth delivery of healthcare services to our members.Key Responsibilities:Plan and optimize daily tasks to update cases on the hospital list within the 8-hour...

  • Case Manager

    4 weeks ago


    Pretoria, Gauteng, South Africa MediHelp Full time

    Job Title: Case Manager - Medical AidMediHelp is seeking a skilled Case Manager to join our team in Tshwane Metro, Pretoria, Brooklyn. As a Case Manager, you will play a critical role in ensuring that our members receive the best possible care and support.Key Responsibilities:Plan and optimize daily tasks to update cases on the hospital list within the...

  • Case Manager

    4 weeks ago


    Pretoria, Gauteng, South Africa MediHelp Full time

    Job Title: Case Manager - Medical AidMediHelp is seeking a skilled Case Manager to join our team in Tshwane Metro, Pretoria, Brooklyn. As a Case Manager, you will play a crucial role in ensuring that our members receive the best possible care and support.Key Responsibilities:Plan and optimize daily tasks to update cases on the hospital list within the 8-hour...


  • Pretoria, Gauteng, South Africa MediHelp Full time

    Position: Healthcare Case CoordinatorLocation: Tshwane Metro, Pretoria, BrooklynEmployment Type: Permanent, Full-TimeIndustry Focus: Insurance and HealthcareKey Responsibilities:Organize and streamline daily operations to ensure timely updates on patient cases within an 8-hour timeframe.Monitor long-term and high-cost cases for hospitalized and home care...

  • Case Manager

    4 weeks ago


    Pretoria, Gauteng, South Africa MediHelp Full time

    Job Title: Case Manager - Medical AidMediHelp is seeking a skilled Case Manager to join our team. As a Case Manager, you will be responsible for managing and coordinating the care of our members, ensuring they receive the best possible medical treatment and support.Key Responsibilities:Plan and optimize daily tasks to update cases on the hospital list within...

Senior Claims and Case Handling Manager

2 months ago


Pretoria, Gauteng, South Africa Medical Protection Society Full time

Job Overview

The Medical Protection Society is seeking a highly skilled and experienced Operational Team Lead to join our team. As a key member of our leadership team, you will be responsible for providing strong leadership to a team of technical experts, ensuring the delivery of excellent claims and case handling services for our members.

Key Responsibilities

  • Lead the team to support the delivery of the Member Protection and Support strategy and priorities, ensuring alignment with our business objectives.
  • Manage informal complaints and establish escalation routes for technical matters, ensuring fair outcomes for our members and compliance with our policies and standards.
  • Lead the team to continuously improve ways of working and contribute to improvement projects aimed at driving operational efficiency and member experiences.
  • Ensure training, competence, performance, and engagement of the team, identifying training requirements and developing strategies to address any gaps.
  • Build relationships with key stakeholders internally and externally to maximize operational effectiveness and drive business growth.
  • Own the setting of team budgets and ensure the effective and efficient performance of the team, minimizing case costs through proactive management and challenge of costs and invoices from third-party spend.

Requirements

  • Leadership and people management experience in multidisciplinary teams, with a strong track record of delivering results and driving business growth.
  • Strong operational management experience, with a deep understanding of the insurance and regulatory environment.
  • Strong customer service and member management background, with a focus on delivering excellent member experiences.

Desirable

  • Experience of leading an offshore operation for a European domiciled organization.

What We Offer

  • 21 Days Annual Leave
  • Performance-Related Bonus - up to 15%
  • Medical Aid
  • Provident Fund/Pension