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
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
IN BOTH GROUP AND INDIVIDUAL LIFE CLAIMS IS ESSENTIAL Evaluate claims forms and supporting documentation from medical practitioners Compare the reorts to our exisitng claims criteria to establish if claim is Writing claims assessment standards/policies Auditing/QA of work done by peers Deliver claims payment required to evaluate claims Liase with relevant re-insurers to determine validity of claims and get their approvals qualification; a medical degree preferable Min 2-3 years experience in Life Insurance Assessing Medical Background
IN BOTH GROUP AND INDIVIDUAL LIFE CLAIMS IS ESSENTIAL Evaluate claims forms and supporting documentation from medical practitioners Compare the reorts to our exisitng claims criteria to establish if claim is Writing claims assessment standards/policies Auditing/QA of work done by peers Deliver claims payment required to evaluate claims Liase with relevant re-insurers to determine validity of claims and get their approvals qualification; a medical degree preferable Min 2-3 years experience in Life Insurance Assessing Medical Background
monitor all claim related activities, which include the complete claim processing cycle of all claims, all claim claim related enquiries or complaints including Pension Fund Adjudicator and FSCA complaints / enquiries enquiries.
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
Processing Processing of all cash, credit card, and medical aid receipts in the cashbooks. Processing of all of all clinic receipts/banking (cash, yoco and medical aid receipts) Daily reconciliations of pharmacy Check all medical aid claims are loaded on Health Bridge and correctly submitted. Call Medical Aid in respect of submitted claims and confirm status of claims. Follow-ups on payments due from Medical Aids. Follow-ups Reconciliation of unmatched items on Health Bridge Claim reversal confirmations, approvals, and allocations
Processing Processing of all cash, credit card, and medical aid receipts in the cashbooks. Processing of all of all clinic receipts/banking (cash, yoco and medical aid receipts) Daily reconciliations of pharmacy Check all medical aid claims are loaded on Health Bridge and correctly submitted. Call Medical Aid in respect of submitted claims and confirm status of claims. Follow-ups on payments due from Medical Aids. Follow-ups Reconciliation of unmatched items on Health Bridge Claim reversal confirmations, approvals, and allocations