Job Overview: The Policy Review Adviser will manage referrals received into the Policy Analysis Team from a variety of sources relating to misrepresentation, non-disclosure and potential indemnity concerns, within agreed authority levels and within agreed SLA. Job Responsibilities: - Investigate all cases of potential misrepresentation and non-disclosure at policy inception and claims stage...
Job Description Job Overview: The Policy Review Adviser will manage referrals received into the Policy Analysis Team from a variety of sources relating to misrepresentation, non-disclosure and potential indemnity concerns, within agreed authority levels and within agreed SLA. Job Responsibilities - Investigate all cases of potential misrepresentation and non-disclosure at policy inception and...
The Complaints Officer is responsible for conducting investigations into complaints and the Code of Conduct. As team leader, the successful candidate will supervise the activities of staff members in the complaints department. This position reports to the Manager: Legal, Claims & Complaints. Team leadership and management of complaints investigation process Provide integrated functional...
Complaints and Escalations Team LeaderJob Purpose:To lead the Complaints and Escalations Team in efficiently managing and resolving complex customer complaints and high-level escalations related to medical aid and gap cover claims and administration. The role ensures timely resolution, compliance with regulatory requirements, root cause analysis, and the implementation of service recovery and...
The successful candidate will be responsible for delivering exceptional customer experiences by efficiently managing homeowners and buildings insurance claims from start to finish. This role balances timely and fair claim resolution with risk management, compliance, and service excellence, ensuring alignment with regulatory requirements and company standards. Claims Management & Technical...
Our client requires a Claims Handler. Your: Formal Education: - Matric - RE 5 Examination Level 1 - Class of Business: Commercial and Personal Lines - NQF 5 in short term insurance Experience: - At least 5 years short term experience and 4 within the claims environment. will enable you to do the following duties: Claims Registration and Acknowledgement: - Receive, review, and register new...
Are you a proactive, highly detailed professional with a passion for customer service and a background in insurance claims? Ready to join a global company dedicated to enhancing customer relationships? A leading Global Financial Services Group, known for enhancing travel experiences and providing specialised insurance solutions (managing products like Priority Pass and Columbus Insurance ), is...
Our client is a trusted name in the short-term insurance industry, specialising in both personal and commercial lines. They are known for their responsive claims handling, customer-focused service, and high compliance standards. The Claims Manager will oversee the full claims lifecycle, ensuring fair and timely resolution of both personal and commercial claims. This role involves leadership of a...
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...
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,...
Our client is a trusted name in the short-term insurance industry, specialising in both personal and commercial lines. They are known for their responsive claims handling, customer-focused service, and high compliance standards. The Claims Manager will oversee the full claims lifecycle, ensuring fair and timely resolution of both personal and commercial claims. This role involves leadership of a...
Job Description Accurate assessment, investigation and validation of complex long-term insurance claims with a high value in accordance with the goals, objectives, processes and standards of the organisation in order to meet customer. These claims may include funeral , death, disability, dread disease and retrenchment claims Hello Future Motor Claims Handler, Welcome to FNB, the home of the...
Key purpose: To ensure that the insurance requirements of prospective and/or existing insurance clients are identified and met, and to keep the company's brand promise of meeting and exceeding client expectations. Duties and responsibilities: - Claims administration - Claims negotiation - Client management - Objection and complaints handling. Qualifications and experience: - Matric pass...
Let's Write Africa's Story Together Old Mutual is a firm believer in the African opportunity and our diverse talent reflects this. Job Description naTo effectively oversee the technical management within the Specialty Claims area and ensure the containment of spend, oversee strategic initiatives, claims, and risk strategies, effectively manage the use of the Specialty Claims Policy, setting...
Role Purpose To provide strategic oversight, deep technical claims expertise, and process innovation across Africa Life's end-to-end claims process. The role ensures consistent, integrated, and high-quality claims experiences across markets by aligning operations to product intent, underwriting, finance, and customer service. This role brings a strategic, risk-focused, and client-centred lens to...
Through our client-facing brands Metropolitan and Momentum, 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...
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...
We are looking for a detail-oriented Senior Clerk to join our claims team. You will be responsible for preparing claim forms, verifying information, and corresponding with agents and beneficiaries. You will also handle client inquiries, review policies, determine coverage, calculate claim amounts, and process payments. You will be working for a well-established company with strong values. In...
Job Description Job Overview Working in our claims department you'll be a key point of contact for customers with insurance claims queries. As a business which strives to provide fair and timely resolution for our customers, we want to ensure that their concerns are appropriately handled every time. Your main objective when you engage with our customers will be to understand, address and resolve...
Job Description Job Overview: As a Complaints Specialist in our team, you will actively investigate and resolve complaints, ensuring good customer outcomes, regulatory timeframes are achieved, and company processes are adhered to. Using great communication skills, to work with customers and the business to gather all the information required to achieve great customer outcomes. Identify processes...