Manage the Benefits Investigation and claims processing function, ensuring the provision of professional payment of benefits, manage issues associated with claims and benefit administration BASIC JOB DESCRIPTION background screening and assessments. The post MANAGER: CLAIMS PROCESSING appeared first on freerecruit.co.za
purpose of this position is to ensure that all claims are assessed using the appropriate rules and is error rate Production - Process the average paper claims Operational and Department targets Qualification Grade 12 Experience - Essential Minimum 2 years claims assessing experience in the Medical Aid industry
seeking a dedicated and experienced Claims Assessor to ensure that all claims are assessed accurately and paid of 2 years of claims assessing experience in the Medical Aid industry. Assess all claims using the appropriate Ensure accurate and timely processing of claims. Verify claim details and documentation for accuracy and healthcare providers and members to resolve any claim-related queries or issues. Adhere to the clients structures while processing claims. Maintain accurate records of all claims assessments and payments. Provide
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
with strong motor claims experience and outstanding investigative skills. The Claims Manager will lead investigations of motor claims. The role requires completing comprehensive reviews of claims to ensure adherence enhancing the overall customer experience. The Claims Manager is responsible for continuous training regular reviews of claims individually and collaboratively in teams to evaluate the claim process and investigation throughout the claims investigation process. Maintain a strong professional knowledge of claims regulatory
seeking a dedicated and detail-oriented Commercial Claims Consultant to join their team. The successful candidate responsible for managing and processing insurance claims efficiently and effectively, ensuring a high level assist on the Claims system set up project as required by your manager; Gathering claims data from all keeping company claims records up to date, including recoveries; Setting up company claims reports as required required by your Manager; Assisting on technical claims and attending meeting with Brokers, as required;
Job Title: FNOL Claims Consultant
Company Overview: Join
dedicated FNOL (First Notice of Loss) Claims Consultant to join their Claims Department.
Position
Overview: As an FNOL Claims Consultant, you will play a crucial role in our client's claims process by efficiently
assessing claims, and providing exceptional customer service to ensure a smooth and timely claims experience
investigations to assess the validity and coverage of claims.
Job Title: Marine Claims Specialist
Company Overview: Join
skilled and experienced Marine Claims Specialist to join their Claims Department.
Position
Overview: As a Marine Claims Specialist, you will play a crucial role in our client's Claims Department by
by managing marine insurance claims from initial reporting to resolution. You will work closely with policyholders
stakeholders to assess, investigate, and settle marine claims while ensuring compliance with company policies
Job Title: Claims Consultant (Commercial and Personal Lines)
Company
seeking a skilled and experienced Claims Consultant to join their Claims Department.
Position
/>Position Overview: As a Claims Consultant specializing in both commercial and personal lines
responsible for efficiently and effectively managing claims from initial reporting to resolution. You will
third-party vendors to assess, process, and settle claims while ensuring compliance with company policies