Fully Qualified Claims Consultant Required for - Personal / Domestic Insurance NQF 4 Short Term Insurance Administer complete claims process according to defined claims procedures until claims are settled Apply Mak assessment of claims validity and estimate value and administer mandated claims Act as intermediary Must to be considered Matric 2 - 3 years Domestic Claims exposure R 22 000 Inclusive of Benefits
seeking an experienced and dedicated Third Party Claims Manager to join our clients team. The ideal candidate and a proven track record in claims management. - Oversee the entire claims process from initial notification obtained to assess and manage claims - Conduct thorough investigations of claims, including reviewing relevant interviewing witnesses - Make fair and informed claims decisions based on liability, policy coverage, implement efficient claims management procedures to ensure timely and accurate servicing of claims - Negotiate
the medical insurance space is seeking a Medical Claims Clinical Auditor to join their team based in Port purpose of this temporary role is to ensure hospital claims are audited timeously and accurately with the focus reducing wastage and abuse, as well as to ensure that claims are processed according to authorizations for a allocated hospital claims for audit within department KPIs and CMS requirements for claims payment. Ensure accurate notes are made for all journals actioned on claims audited. Assess prosthesis for PMB funding when
purpose of this temporary role is to ensure hospital claims are audited timeously and accurately with the focus reducing wastage and abuse, as well as to ensure that claims are processed according to authorizations for a allocated hospital claims for audit within department KPIs and CMS requirements for claims payment.
the medical insurance space is seeking a Medical Claims Clinical Auditor to join their team based in Port purpose of this temporary role is to ensure hospital claims are audited timeously and accurately with the focus reducing wastage and abuse, as well as to ensure that claims are processed according to authorizations for a allocated hospital claims for audit within department KPIs and CMS requirements for claims payment. Ensure accurate notes are made for all journals actioned on claims audited. Assess prosthesis for PMB funding when
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Key Responsibilities:
done through: The proactive management of claims and the claims department, Ensuring that controls and procedures and Treating Customers Well, by paying all valid claims. The position of Assistant Manager entails proactive Supervisors. Reporting to the Supervisors are: 1 X Claims Supervisor 1 x Team Leader 14 x Assessors (Funeral regularly and are robust in order to finalise all valid claims as quickly as possible through providing exceptional Operational reporting on all activities within the Claims Department including: a. Daily to monthly production
Are you a seasoned Claims Handler looking for your next career move? I'm excited to present a fantastic passion for insurance, extensive experience in claims handling, and thrive in a fast-paced environment and process claim/loss forms Appoint assessors/loss adjustors Communicate progress on claims Complete internal internal claims process documentation Notify insurers of large losses Update claims progress and estimates agreement of loss documentation Prepare and submit claims payments Negotiate with suppliers/contractors Obtain
Warehouse Claims Supervior to join their team. T his role requires someone with retail claims experience experience - insurance claims will NOT be considered. Ensure Department Deadlines and goals are achieved • Ensure submission of the Margin Report to the Warehouse Claims Manager. • Responsible for the monthly preparation Assist Warehouse Claims Manager with Staff Performance Reviews MUST HAVE RETAIL CLAIMS EXPERIENCE Matric