Claims Auditor
15 hours ago
Gauteng
- ,
- Centurion
- Annually
- (Market related)
- Our prestigious client in Financial Public Sector has an EE opportunity available for a Claims Auditor to be based in the Centurion area.
- Education and Experience Requirements:
- Commercial Degree (BCom/Business Management/Economics/Law/Risk Management)
- 3-5 years experience in short term and/or Life insurance claims negotiation and handling
- 3-5 years experience in short term and/or Life general insurance
- 3-5 years experience in claims handling and Auditing
- 3-5 years claims auditing experience of SLA partners, UMA’s and Binder Holders
- Short term and/or life insurance claims negotiation and handling on an insurance operating system
- Microsoft Office
KPAs:
- Audit Planning - audit scoping, sample preparation on working papers and conducting opening meetings, audit planning memorandum
- Manage SLA’s with third parties insofar as claims management in concerned Perform claims data analysis to identify non-compliance with SLA’s
- Life Claims Administration
- Calculating benefits payable
- Claims assessing and validation including settlement, rejection and repair within set SLA
- Investigate and report on fraudulent claims
- Consults existing control systems to determine components that can be utilised/amended in the required control system
- Implements control systems in accordance with policies, procedures and legal requirements.
- For more information please contact:
- Babongile Ngwenya
-
Claims Auditor
3 days ago
Centurion, South Africa Fempower Personnel Full timeGauteng , Centurion (Market related) Our prestigious client in the Financial Public Sector, has an EE opportunity available for a Claims Auditor in the Centurion area. This will be a fixed-term contract position for 6 months. **Education and Experience Requirements**: - Commercial Degree (BCom/ Business Management/ Economics/ Law/ Risk Management) - 3-5...
-
Claims Auditor
15 hours ago
Centurion, South Africa Kamo Placements Full time**JOB DESCRIPTION** - Audit Planning audit scoping, sample preparation on working papers and conducting opening meetings, audit planning memorandum - Implementation testing scoped work and challenge control design and effectiveness, keep evidence and manage time accordingly - Technical assessment of claim by checking the applicable cover, scheme and member...
-
Clinical Auditor
3 weeks ago
Centurion, South Africa Private Health Administrators (Pty) Ltd Full timePosition Purpose: To audit, authorise and process the accurate payment of hospital and case management claims. Ensuring that patient treatment, material and equipment usage for each claim is in accordance with claim rules and regulations. Experience: 3 – 4 years Manage Care experience, of which a minimum of 2 years should have been in a hospital...
-
Group Bookkeeper
6 days ago
Centurion, South Africa Afrirent Holdings Full timeAfrirent Holdings is looking for a Bookkeeper to record, classify and accurately organise all financial transactions made in the course of Afrirent’s business operations, in compliance with accounting principles. This includes creating and posting financial transactions to accounting journals / software; generating and compiling reports and reconciling all...
-
Department Head
2 weeks ago
Centurion, South Africa AVBOB Full timeWe are looking for a dynamic and experienced Department Head to lead our Group Schemes division at AVBOB Group. This is a strategic leadership role focused on driving operational excellence, enhancing service delivery, and growing premium income through effective administration and team management. You will be working for a well-established company with...
-
Management Accountant
2 weeks ago
Centurion, Gauteng, South Africa CLC Full time R90 000 - R120 000 per yearCompany DescriptionCustomer Loyalty Consultants (Pty) Ltd (CLC) was founded in 1998 by Karla Hunt and Andrew Hunt, with a focus on providing consulting services for customer loyalty programs. The company's hands-on approach and diverse team enable them to understand customer touchpoints and offer tailored solutions. CLC has expanded its services to include a...
-
Personal Assitant for Executive
6 days ago
Centurion, South Africa Amka Products Full time**Personal Assistant for Executive** We’re hiring a proactive **personal assistant** to join our innovative finance division. Are you professional, detail-oriented, financially savvy, and passionate about supporting high-level executives? We’re looking for a **personal assistant** to provide high-level administrative and financial support to our finance...