Reference: PTA001415-ZS-1 Junior Claims Consultant Our client, a provider of short – term commercial currently on the lookout for an on the ball Junior Claims Consultant that will be based in Central Johannesburg RE5. Minimum of 5 years of claims experience. Experience with relevant Claims Systems (Cardinal 360, CIMS experience. Roles and Responsibilities: Claims Processing: Register all claims promptly within 2 hours and refer invoices. Finalise claims promptly upon receipt of final correspondence. Expedite relevant claims for quick resolution
philosophy, analyse claims and other data when assessing claims. Providing feedback on all claims, liaising with decisions on claims worked on. Assessment of income, disability and critical illness claims following policy policy terms and claims philosophy as well as facilitate case management programmes where applicable Outputs (include but is not limited to): - Evaluate claims forms and supporting documentation in preparation Compare the reports to the existing claims criteria to establish if claim is payable - Decide on levels of
about financial services and the good it can do. Claims Consultant: The purpose of this role is responsible philosophy, analyse claims and other data when assessing claims. Providing feedback on all claims, liaising with decisions on claims worked on. Assessment of income, disability and critical illness claims following policy policy terms and claims philosophy as well as facilitate case management programmes where applicable claimants in their return to work. Duties: Evaluate claims forms and supporting documentation in preparation
philosophy, analyse claims and other data when assessing claims. Providing feedback on all claims, liaising with decisions on claims worked on. Assessment of income, disability and critical illness claims following policy policy terms and claims philosophy as well as facilitate case management programmes where applicable You'll report to the Team Leader: Claims Assessing responsible for Claims. Your qualifications: • Grade 12 Outputs (include but is not limited to): • Evaluate claims forms and supporting documentation in preparation
Reference: JHB000127-TK-1 Marine Claims Specialist Job Title: Marine Claims Specialist Company Overview: Marine Claims Specialist to join their Claims Department. Position Overview: As a Marine Claims Specialist crucial role in our client's Claims Department by managing marine insurance claims from initial reporting to stakeholders to assess, investigate, and settle marine claims while ensuring compliance with company policies Responsibilities: Receive and review marine insurance claims, including hull and machinery, cargo, marine liabilities
the role: Providing administrative support within Claims department. Key Responsibilities Confirming if policy. Registering a claim on the relevant system. Verifying the authenticity of claim documents received doctor. Assessing and validating claim documents received against the claims' standard operating requirements of the claim for approval and payment. Providing feedback on pending claims and repudiated claims. Monthly Monthly premium report and claims report. Qualifications: Matric (Grade 12) Diploma or Degree would be advantageous
JHB000138-MO-1 An opportunity for a Commercial Claims Consultant to join the team exist Qualifications Commercial lines claims experience across all commercial sections of the policy. - Full function claims administration of claim, appoint assessors, read assessors report, make decision on claim up to payment of claim) -
Together with our client, a leading claims administrator in Johannesburg North, we are recruiting for Controller to assist with Private and medical aid claims. Implement credit control procedures for specialist outstanding claims. Apply any necessary fixes or adjustments to claims. Monitor and follow up on claims related rejections from medical aids and upfront claim rejections Submit paper claims when electronic submission is not
variances. Revenue/Debtors Check all medical aid claims are loaded on Health Bridge and correctly submitted Medical Aid in respect of submitted claims and confirm status of claims. Follow-ups on payments due from Reconciliation of unmatched items on Health Bridge Claim reversal confirmations, approvals, and allocations allocations. Compile weekly report for each clinic on claim status. Weekly follow-up on medical aid outstanding
variances. Revenue/Debtors Check all medical aid claims are loaded on Health Bridge and correctly submitted Medical Aid in respect of submitted claims and confirm status of claims. Follow-ups on payments due from Reconciliation of unmatched items on Health Bridge Claim reversal confirmations, approvals, and allocations allocations. Compile weekly report for each clinic on claim status. Weekly follow-up on medical aid outstanding