Manage the Benefits Investigation and claims processing function, ensuring the provision of professional benefits, manage issues associated with claims and benefit administration BASIC JOB DESCRIPTION Manage internal (Benefits Committee (BC), Medical Panel (MP), Management Benefits Committee (MBC)) and take decisions decisions based on formal documentation. Project Management •Participate in the Fund’s overall projects as required strategic management of the section •Contribute ideas for improved service delivery at Management meetings
leader in the Insurance field is on the look out for Claims Assessors to form part of their Team.Â
This support in the generation and provision of reliable claims assessment activities, to support key deliverables
to the ongoing enhancement and execution of the claims assessment methodology across Critical Illness Disability benefit lines. Approves or declines claim submissions without supervision within company guidelines greatest risk. Provide guidance and assistance to claims assessors and consultants. Guide team members with guidelines Assist with the overall improvement of risk management within the living benefits assessment area. Continuous the claims assessment methodology, including: Current best industry and company practices Claims research
in the West Rand
Reference: JHB001522-MS-1 Job Title Claims Controller - C4 EE Occupational Levels Level 4 & 5: Skilled effective processing of claims within the governed framework and management of claims process within assigned assigned mandate. Undertake claims processing by receiving registered claims within mandate, confirm merits Level 6) Experience: 4 – 6 years' experience in a Claims handling position within short-term (non-life) Duties and Responsibilities Claims Processes - Deal with technically complex claims within their mandate. -
well-established short term insurer seeking to appoint an Claims Controller To ensure compliance with the short-term effective processing of claims within the governed framework and management of claims process within assigned Level 6) Experience: 4 – 6 years' experience in a Claims handling position within short-term (non-life)
/> Claims Administration:
Brokers Pre-requisite
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