DETAILS OF THE VACANCY Job Title Assistant Claims Handler Location Labour Claims Johannesburg Salary Grade PASS1 Reporting to Claims Manager Reporting staff None Type of Position Permanent Working hours Mondays to Fridays from 08h00 - 16h30Alternate Saturdays from 09h00 - 12h30 Key Responsibilities include, but are not limited to the following:membership agreement MINIMUM REQUIREMENTS...
Requirements: - Grade 12 - Clear criminal and credit record. - Advantageous: - Knowledge of microinsurance claims and complaints regulations, - Knowledge of Treating Customers Fairly principles, - Additional South African Languages, - Knowledge of Lewis Stores processes and procedures. Ideal Experience: - 3 years + experience in a managerial position (incl assistant management position) -...
Employer Description The employer is a well-established organisation within the short-term insurance sector, operating in a regulated and professional environment. The business values technical excellence, strong governance, and collaborative working relationships, offering employees exposure to senior leadership and meaningful involvement across core insurance functions. Job Description The...
Minimum Requirements - Matric (Grade 12) essential - Relevant qualification in Finance, Accounting, or Credit Management (advantageous) - 24 years experience in credit control, billing, or claims administration - Experience using accounting systems (e.g. Sage, Pastel, Xero, SAP advantageous) - Strong understanding of VAT and basic accounting principles - Working knowledge of ICD-10 coding,...
ENVIRONMENT: AN established player in the South African long-term insurance market seeks a Claims Validator to provide exceptional claims experience & ensure that the claim settlement processes are seamless and trouble-free for clients. You will be responsible for the preparation, validation, and finalisation of all registered claims. The Claims Validator must actively manage the validation of...
Role Overview Seeking two experienced Reinsurance Claims Administrators to support the short-term wrap-up of existing reinsurance claim files. The successful candidates will have prior reinsurance claims experience and a solid understanding of the end-to-end claims process. A structured one-week handover and training period will be provided by the Managing Attorney in Umhlanga, after which the...
- - In-house Claims Consultant Join a South African Financial Service Provider supporting complex medical claims Medical Malpractice | Rosebank, Johannesburg | R15,000 gross per month About Our Client Our client is a South African financial services provider specialising in medical malpractice and healthcare-related claims. The business is known for its focused expertise in this niche area, a...
Together with our client, a leading claims administrator in Pretoria East, we are recruiting for a Medical Claims Validator to join their team. The ideal candidate needs to have minimum 2 years Medical claims related experience and must have matric/grade 12. Duties and Responsibilities: Operational: - Assess COID claim information - Assess billing on account per item in terms of COID Gazette -...
Duties & Responsibilities Key roles and responsibilities: - Claims Processing: Register claims, confirm documentation, and assist claimants through the process. - Guidance & Support: Provide clear information on policy terms, benefits, and procedures. - Coordination: Act as the central point of contact between internal teams and external organizations. - Issue Resolution: Monitor claim progress...
To provide comprehensive administrative support in underwriting and claims processes, ensuring accuracy, compliance, and excellent client service within the short-term insurance environment. Minimum Requirements: - Grade 12 - FAIS compliant (NQF 4 – Short-term insurance) certification - Regulatory Exam Level 5 (RE5) completed - Minimum of 5 years short-term claims experience within the...
ROLE OVERVIEW The claims administrator is responsible for the accurate processing of claims, within the agreed service level agreement between SALTEB and the fund and meeting production standard. The duties include requesting information and responding to enquiries, ensuring quality assurance on documents and assessing claim legitimacy. Key responsibilities include initiating new claims,...
Minimum requirements: - Matric - Related qualification an advantage - Computer literate - 3 - 5 years related experience - Has a thorough understanding of all the accounting systems in the organisation and how to effectively maintain these - Can understand organisational accounting needs and identify the extent to which current accounting systems correspond to needs - Understands the interaction...
Role Purpose Preliminary analysis and investigation of allegations related to fraud, waste, and abuse within the medical claims environment. Requirements QUALIFICATIONS - Matric - Bachelor's degree, diploma or higher certificate in a relevant field (e.g., healthcare, law, auditing, forensics) - Association of Certified Fraud Examiners (ACFE) - Certification in fraud examination, healthcare...
You could be the one who changes everything for our 28 million members. Centene is transforming the health of our communities, one person at a time. As a diversified, national organization, you'll have access to competitive benefits including a fresh perspective on workplace flexibility. *Applicants for this job have the flexibility to work remote from home anywhere in the United...
Introduction Through our client-facing brands Momentum Group, with Multiply (wellness and rewards programme), and our other specialist brands, including Guardrisk and Eris Property Group, the group enables business and people from all walks of life to achieve their financial goals and life aspirations. We help people grow their savings, protect what matters to them and invest for the future. We...
We use our expertise and products to craft customer experiences. Our range of services helps global brand acquire, engage and retain choice-rich customers. © 2023 Collinson International Limited. Registered in England & Wales under registration No. 2577557 Registered address : 3 More London Riverside, London, SE1 2AQ, United Kingdom. Collinson is a global loyalty and benefits company. We use...
Our client, a leading short-term insurance company, is seeking a young and energetic Attorney to join their Recoveries team About the Role: This is an excellent opportunity for a recently qualified LLB graduate to gain hands-on experience in insurance recoveries without the requirement of being an admitted attorney. You will be involved in the recovery of third-party claims and liability claims,...
What will you do? Under general direction, researches, collates, records and examines coverage information to make highly complex short term claim settlement determinations. Within company guidelines, approves or denies payment. May assist in training lower-level Claims Clerks. What will make you successful in this role? Qualification and Experience Grade 12 with 3 to 4 years related experience....
Duties & Responsibilities - Handling commercial claims including Heavy Commercial Vehicles claims from registration, right up until settlement - Ensuring confirmation of cover has been completed correctly - Reporting and handling of commercial motor and non-motor claims - Communicate with clients, the responsible party, their insurers, solicitors, and various other parties involved in the claims...
Together with our client, a leading claims administrator in Pretoria East, we are recruiting for a Medical Claims Validator to join their team. The ideal candidate needs to have minimum 2 years Medical claims related experience and must have matric/grade 12. Duties and Responsibilities: Operational: - Assess COID claim information - Assess billing on account per item in terms of COID Gazette -...