Overview Role Purpose: Efficiently and effectively manage allegations related to fraud, waste, and abuse within the medical industry. This role involves receiving, analysing, and investigating allegations, validating their credibility, and assessing the need for further action. The Assessor will also provide critical support in data retrieval for internal and external...
A private healthcare facility in Johannesburg seeks a Pre-Admissions Clinical Assessor to manage financial and clinical risks related to future patient admissions. The ideal candidate will conduct clinical assessments and ensure proper coding standards, focusing on improving customer service and workflow efficiency. Applicants should possess a relevant diploma or degree and current SANC...
Job Title: Risk Assessor Location: Centurion, Gauteng Type: Temp Seniority Level: Mid Career (2 - 4 yrs exp) Main Purpose: Conduct health and safety risk assessments within the plant to identify hazards, assess risks, and recommend controls in line with legal requirements. Scope: Plant areas, Production, Warehouse, Workshops, Equipment etc. Excludes offices. Key Responsibilities: - Conduct...
Introduction 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...
A health and safety consulting firm in Cape Town is seeking a contractor to write and review COSHH Risk Assessments based on Material Safety Data Sheets. The ideal candidate holds a recognized UK Health & Safety qualification and suitable Professional Indemnity Insurance (£5m equivalent). The role requires turnaround of requests within 2-3 working days, with fixed pricing for assessments and...
Overview To assess and adjust losses of complex claims for Standard Insurance Limited South Africa to deliver effective and efficient world class customer service and excel in operation financial and service requirements. To manage control and attend to contractor audits authorisations over-mandate upfront assessments customer complaints and enforce correct interpretation of the Homeowners...
Apply By We're on the lookout for energetic, self-motivated individuals who share our passion for service in the banking industry. To be part of the journey, follow the steps below: - To see what life at Capitec is all about and complete a short assessment, please click here! - Once you have completed the above finalize your application by clicking apply below Purpose Statement To improve...
Overview Hello… an exciting new opportunity has just become available in our Operations,Non-Motor Claims area in Bloemfontein. We are looking to recruit a Non-Motor Claims Assessor. Role Objectives To effectively validate, adjust and report on assigned claims. Ensure containment of claims spend and provide fair & timeous claims settlement by benchmarking a culture of best practices within...
Join TIH, home to some of South Africa’s leading financial service providers, and grow your career while being part of an organisation with purpose. Job Purpose Support the claims handling philosophy and supply strategy by mitigating risk of vehicle spend (quantification, identification and validation of vehicle). All services are delivered against agreed service and functional...
Job Overview Business Segment: Insurance & Asset Management Location: ZA, GP, Roodepoort, 4 Ellis Street Job Type: Full-time Job Ref ID: 80415388A-0001 Date Posted: 1/21/2026 Job Description To ensure the highest level of customer service through quality claims processing ensuring adherence to stipulated turnaround times. Assessment of all medical claims to ensure that all claims submitted for...
Offshore Desktop Motor Assessor- Australia (Johannesburg) page is loaded## Offshore Desktop Motor Assessor- Australia (Johannesburg)locations: Gauteng, Johannesburgtime type: Full timeposted on: Posted Yesterdaytime left to apply: End Date: January 31, 2026 (14 days left to apply)job requisition id: JR103776## Join TIH, home to some of South Africa’s leading financial service providers, and grow...
A vacancy exists for a Pre-Admissions Clinical Assessor, based at Life Cosmos Hospital, Mpumalanga, reporting to the Patient Services Manager, Anrita Engelbrecht. The successful candidate will be responsible for the management of the financial and clinical administrative risks pertaining to future patient admissions. Critical Outputs Manage pre-admission risk - - Perform clinical assessments...
Stay safe online.Now more than ever it’s important to be cybersafe. See Santam’s tips to help you stay safe online. Learn more. A career opportunity has become available within Santam’s Non-Motor Claims Department, and the successful candidate will be based in Centurion. WHAT WILL YOU DO? The successful candidate will be responsible for assessing the quantum and merit of segmented non-motor...
Overview Join Bridgestone EMEA as a Trainer/Assessor. The role focuses on delivering effective training and assessments in all areas of OTR tyre management, ensuring employees are competent, safe, and compliant with company and industry standards. This position supports operational excellence by developing skills, promoting best practices, and maintaining accurate training and competency...
Tracker requires the services of a Quality Assurance Assessor/Coach in the Sales Contact Centre. This is a permanent position based at their Head Office in Johannesburg. The successful candidate will be responsible for evaluating adherence to company policies/procedures and statutory requirements in line with Trackers customer service; sales and Compliance strategy. Key Responsibilities: -...
Job Title Disability Claims Assessor Company Old Mutual South Africa Seniority level - Entry level Employment type - Full-time Job function - Finance and Sales Job Description The role involves assessing and managing disability claims in line with product and contractual guidelines, ensuring holistic evaluations based on medical, occupational, and other relevant information. The...
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...
Stay safe online. Now more than ever, it's important to be cybersafe. See Santam's tips to keep you safe online. Learn more. Job Location This career opportunity is available in the Non-Motor region, and the successful incumbent will be based at HOE. What Will You Do? The successful candidate will determine the quantum and merit of segmented non-motor claims by performing investigations,...
Overview Hello… an exciting new opportunity has just become available in our Operations,Non- Motor Claims area in Cape Town. We are looking to recruit a Non-Motor Claims Assessor. Role Objectives To effectively validate, adjust and report on assigned claims. Ensure containment of claims spend and provide fair & timeous claims settlement by benchmarking a culture of best practices within...
Momentum Centurion, Gauteng, South Africa Claims Assessor MMH251121-9 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 - Relevant degree or qualification...