Senior Claims Assessor for a Tygervalley Insurance company Mid Career (4 - 6 yrs exp) Duties and Responsibilities: - Assessing Individual Funeral Insurance claims - Utilize assessment tools or software effectively - Communicate effectively in English - Previous experience in the Financial Services Industry - Computer proficiency, particularly in MS Office - Typing speed of at least 25 words...
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...
Job ID:14131Position Type:Full-TimeJob Function:Financial Services / AnalyticsWorkplace Type:Head OfficeDivision:TFG Financial ServicesProvince:Western CapeLocation:Cape Town NorthSuburb:Parow (Parow)Position Description:Claims Assessor: Insurance A challenging position exists within Financial Services for a claims assessor who is numerate, organised, thorough and a competent individual. Your...
Company Description OUTsurance is a customer-centric financial services company with a global foot print. We are vibrant, successful and values orientated with an awesome dynamic culture encapsulated by the ethos that clients and staff “always get something OUT.” Our success can be attributed, amongst other things, to the outstanding people that work for us Job Description:The Claims Motor...
You will be part of a dynamic team and have the desire to build a micro-insurance landscape in South Africa where everyone uses insurance, this challenging and exciting role is just for you. aYo SA Intermediaries forms part of aYo Holdings - the parent company - that is expanding the aYo footprint across the African continent, contributing to product and client engagement innovation to...
A reputable Medical Aid is seeking an experienced Medical Aid Claims Assessor to join their HBM team in Pretoria. (Office based) Requirements: - Grade 12 - Staff/Enrolled or Registered Nurse (SANC) - Minimum 5 years’ experience as a Nursing Practitioner - Minimum 1 year experience gained in the medical funding industry - 1 year Medical Aid claims auditing experience (Essential) Duties: -...
Position: Claims Assessor – Individual Life Benefits Location: Sandton Industry: Long-Term Insurance | Banking Client Are you a detail-oriented professional with a passion for precision, service excellence, and impactful decision-making? Our client, a leading name in the banking and insurance space, is looking for a Claims Assessor to join their high-performing team. If you thrive in a...
CAREER OPPORTUNITY • A position has become available for a Field Assessor, Heavy Commercial Vehicle (HCV) claims. The position will be based in the Motor Claims department at the Hill On Empire, Johannesburg. • The candidate will be expected to work from and in Gauteng and neighbouring regions. WHAT WILL YOU DO? • The purpose of this position is to determine the quantum and merit of segmented...
Minimum requirements: Matric A tertiary qualification in business, management or finance is desirable Must have a minimum typing speed of 25 words per minute. RE5 (desirable) Minimum of 4 years proven work experience in assessing Insurance claims Experience in the Financial Services Industry will be beneficial Assess claims and communicate with external clients as well as with other...
Primary Purpose of the Role: To ensure claims are assessed accurately and communicated effectively, in line with business rules and service level agreements. Key Responsibilities: - Assess an average of 7 benefits per day. - Communicate formally and professionally. - Independently assess claims within authority limits. - Maintain service level discipline. - Achieve Quality Assurance score...
Minimum requirements: Matric A tertiary qualification in business, management or finance is desirable Must have a minimum typing speed of 25 words per minute. RE5 (desirable) Minimum of 4 years proven work experience in assessing Insurance claims Experience in the Financial Services Industry will be beneficial Assess claims and communicate with external clients as well as with other...
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...
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...
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...
RESPONSIBILITIES Claims Data Collection & Analysis Ask questions, collect data from a variety of sources, analyse information and investigate claim. Ensure that the client policy is valid through the appropriate due diligence (such as listening to the policy sales/retention etc. phone conversation. Medically assess the validity of the claim by applying specialist medical assessing skills...
Introduction The Retail Life Insurance department is looking for a self-driven, dynamic health professional who wants to grow their career in Claims Assessment. Myriad is Momentum's market-leading life insurance product, providing lifecover to clients in South Africa. Our Myriad product aim in partnering with our clients on their journey to success. We strive to find opportunities in every risk...
Introduction- Are you ready to take on a vital role where your attention to detail, communication skills, and commitment to excellence make a real difference? We are looking for a dedicated GAP Claims Assessorto join our fast-paced insurance environment and play a key part in delivering outstanding service to our clients. In this role, you will be at the heart of the claims process—validating...
Discovery – Insure *Desktop Claims Assessor Specialist About Discovery * Discovery's core purpose is to make people healthier and to enhance and protect their lives. We seek out and invest in exceptional individuals who understand and support our core purpose, and whose own values align with those of Discovery. Our fast-paced and dynamic environment enables smart, self-driven people to be their...
Introduction- Momentum Health, an entity of Momentum Group ,delivers sustainable, integrated health solutions that meet the needs of clients in the different segments and maximize lifetime client value. We build and maintain a culture of innovation, and create value through unique insights into how to achieve specific outcomes by using a defined set of Health capabilities. Disclaimer- As an...
Role Purpose The successful incumbent will be responsible for assessing, reviewing, and managing living benefit claims in accordance with relevant legislation and company policy, while adhering to Service Level Agreements and meeting client and business expectations. Requirements QUALIFICANTIONS - Relevant degree or qualification (Desirable). - Grade 12 or equivalent qualification...