A Claims Assessor role exists within the reinsurance space. Are you a qualified Physio, OT or Nurse Nurse with at least 5 years experience in Claims specifically in Disability, Death and Dreaded Disease? The team deals with high value, complex claims and is family-oriented, hardworking and supportive. If
seeking a Claims Administrator to join their team. Objective: The main objective of the Claims Administrator work with the Claims Manager and Assistant Claims Manager with regards to all logistics claims received. framework of the Claims department, focusing on the efficient handling and processing of claims. Duties include All administrative duties regarding damage claims Claims to be processed within 24 hours from receipt create awareness of risk areas Investigate each claim and make recommendations on risk areas and note
Cold stores in Selby looking for data capturer / junior supervisor must have 3 years exp Matric Clean
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
raised based on information received
- Writing claims assessment standards/policies
- Auditing/QA
Deliver claims payment decision
- Determine requirements / documents required to evaluate claims
-
with relevant re-insurers to determine validity of claims and get their approvals where required
- Explain
/>REQUIREMENTS:
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
A Claims Assessor role exists within the reinsurance space. Are you a qualified Physio, OT or Nurse with with at least 5 years' experience in Claims – specifically in Disability, Death and Dreaded Disease? The team deals with high value, complex claims and is family-oriented, hardworking and supportive. If
and financial management, is seeking an Insurance Claim Administrator. The ideal candidate will have Grade at least two years of experience in insurance claims and administration and be fully bilingual in Afrikaans underwriting principles is essential to manage claims effectively, assessing each on its unique merits Efficiently open and process all claims promptly. Accurately administer and manage claims in a timely manner & & policy continuity after claims. Ensure prompt loading of claim payments and maintain accurate records
(credits and/or full qualification)
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