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    GAP Claims Assessor - Cape Town, South Africa - Status Staffing

    Status Staffing
    Status Staffing Cape Town, South Africa

    2 days ago

    status staffing background
    Description
    Our Client in Claremont is looking to employ a GAP Claims Assessor with Medical Aid claims processing and administration / insurance industry experience to join their team

    A recent professional profile photo is to accompany your application
    EMPLOYMENT TYPE : Permanent
    SECTOR : Finance
    BASIC SALARY : R16,000
    START DATE : A.S.A.P / Immediate

    REQUIREMENTS:
    • 2 years' experience in a similar role
    • Insurance industry experience (essential)
    • Medical Aid claims processing and administration experience (essential)
    • Ability to work well under pressure
    • Commitment to meet daily targets
    • Self-motivated
    • Having a can do attitude
    • Good written and verbal communication skills
    • Good negotiation skills
    • Good understanding of how medical aids work and operate
    • Intermediary MS Office, especially Excel, Word and Microsoft Outlook skills
    • Good time management skills
    • Works well in a team and independently
    • Copes well with pressure and setbacks
    • Pro-active and using your initiative

    DUTIES:
    • Check and validate all GAP claim documents received and to request any outstanding documents
    • Follow the claims process and capture the claim information onto the system
    • Verify and update any client personal information changes on the system policy record
    • Assess the validity of the claim in accordance with the terms and conditions of the clients policy document and to make the relevant claim notes on the system
    • Ensure a client's claim expectation is adequately addressed and managed by applying the TCF principals and effectively communicating with the client or broker regarding their claim
    • Meet your daily minimum claim targets with a high level of accuracy and within service turnaround time Maintain and update your daily workflow tasks and queue
    • Ensure high priority and escalated claims as identified by management are processed within 2 hours Interact with medical aids, hospitals and medical practitioners regarding medical history and accounts required relevant to assessing the claim

    HOURS:
    • 08:00 – 17:00 Monday - Friday

    Should you meet all the requirements, apply on our website at today.
    Should you not hear back from us within 10 working days, please consider your application as unsuccessful. We will retain your credentials for future similar roles.
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