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Claims Assessor
1 day ago
Kontak Recruitment SA Cape Town, South AfricaCape Town, Western Cape - Administrative · **Claims Assessor (JB4315)** · **Claremont, Cape Town, Western Cape** · **R R19 000 CTC per month based on experience** · **Permanent** · A leading provider of insurance solutions, dedicated to delivering exceptional service and peace of ...
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Claims Assessor
2 days ago
JenRecruitment Cape Town, South AfricaA vacancy exists for a Claims Assessor in our Gap Claims Assessing Department. (Claremont Cape Town) · **Job description & duties**: · - To check and validate all GAP claim documents received and to request any outstanding documents · - To follow the claims process and capture th ...
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Claims Assessor
1 week ago
JenRecruitment Cape Town, South AfricaA vacancy exists for a Claims Assessor in our Gap Claims Assessing Department. (Claremont Cape Town) · **Job description & duties**: · - To check and validate all GAP claim documents received and to request any outstanding documents · - To follow the claims process and capture th ...
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Claims Assessor
3 days ago
Genesis Medical Scheme Observatory, South AfricaThe following competencies are required: · - Proven experience in claims assessing within the Medical Scheme environment · - Outstanding knowledge of tariff codes, medicines and medical terminology · - Basic MS Office (Word & Excel) experience/skills · - Strong interpersonal skil ...
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Gap Claims Assessor
2 days ago
Measured Ability Group Holdings Cape Town, South AfricaOur client is seeking an experienced Gap Claims Assessor. · **Requirements**: · - Applicants must have a thorough understanding of medical aid operations or insurance policy administration and operations. · - Matric. · **Responsibilities**: · To check and validate all GAP claim d ...
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Gap Claims Assessor
5 days ago
Status Staffing Claremont, South Africa**Western Cape**, Claremont** · **R16,000** · 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 · EMPLOYMENT TYPE : Permanent · SECTOR : Finance · BASIC SALAR ...
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Claims Assessor
1 week ago
The Foschini Group Parow, South Africa**Job ID**:15420**Position Type**:Full-Time**Job Function**:Financial Services / Analytics**Workplace Type**:Head Office**Division**:TFG Financial Services**Province**:Western Cape**Location**:Cape Town North**Suburb**:Parow (Parow)Position Description: · **Claims Assessor: Insur ...
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Claims Assessor
6 days ago
Old Mutual Cape Town, South Africa Full timeDescription · This role uses specialist technical knowledge to assess risk for the business and/or specific products. · This role is for a dynamic individual with a willingness to learn and be part of a specialised claims assessing team. · Uses specialist technical knowledge to ...
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Claims Risk Assessor
2 days ago
Health Solutions Bellville, South Africa**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 the ...
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Gap Claims assessor
1 week ago
Greys Recruitment Cape Town, South AfricaOur client is seeking an experienced Gap Claims Assessor. · Requirements: Applicants must have a thorough understanding of medical aid operations or insurance policy administration and operations. · Matric. · Responsibilities: · To check and validate all GAP claim documents rece ...
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GAP Claims Assessor
6 days ago
Status Staffing Cape Town, South AfricaOur 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 · SECTO ...
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Senior Claims Assessor
1 week ago
Old Mutual Cape Town, South Africa Full timeDescription · & Key Result Areas: Coaching · Provide guidance and mentorship to junior claims assessors · Personal Effectiveness · Accountable for managing own time effectively to meet service delivery needs · Prioritise tasks and ensure high-quality output · Makes increased ...
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Gap Claims assessor
1 hour ago
Greys Personnel Cape Town, South AfricaRequirements: Applicants must have a thorough understanding of medical aid operations or insurance policy administration and operations. · Matric. · Responsibilities: · To check and validate all GAP claim documents received and to request any outstanding documents. · To follow ...
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GAP Claims Assessor
1 hour ago
Status Staffing Cape Town, South Africa· 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) · M ...
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Medical/GAP Claims Assessor
6 days ago
Career Dynamics Global Cape Town, South Africa Full timeMedical/GAP Claims Assessor - Client Services (Inbound Contact Centre) · Southern Suburbs, Cape Town (Office based) · Salary Negotiable on experience (R12K - R18 K CTC PM) · My client, a leading established Long-term Insurance Corporate (Medical/Individual Life Insurance) are loo ...
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Claims and Customer Care Consultant
1 week ago
O'Brien Recruitment Cape Town, South Africa**Job Roles and Responsibilities**: · - Manage the end to end claims process from lodgment to settlement. · - Day to day management of claim lodgments, customer inquiries and validating reported insurance claims. · - Answer incoming calls and provide customers with empathy, certa ...
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Claims Consultant
1 week ago
Yazoo Recruitment Specialists Cape Town, South AfricaClaims Consultant with minimum 3 years' Commercial Claims experience in a Broker environment (Binder agreement), required to start asap. · **Minimum requirements**: · - Matric essential · - RE5 essential · - FAIS qualifications/credits essential · - CIMS advantageous · - Minimum ...
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Team Leader: Motor Assessing
1 week ago
Hollard Recruitment Cape Town, South Africa**Job Advert Summary**: · Helloan exciting new opportunity has just become available in within **Hollard Insure, **in the **Operations,** **Motor Claims** **area.** We are looking to recruit a **Motor Assessing: Team Leader** · **Role Objectives**: · The Team Leader is responsibl ...
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Commercial Claims Consultant
6 days ago
Yazoo Recruitment Specialists Cape Town, South AfricaCommercial Claims Consultant with minimum 3 years' Commercial Claims experience in the Short Term Insurance Claims environment, specifically with a Broker with a binder facility, required to start asap. · **Minimum requirements**: · - Grade 12 · - RE Certificate essential · - Rel ...
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Claims Consultant
1 week ago
Yazoo Recruitment Specialists Cape Town, South AfricaClaims Consultant with minimum 3 years' relevant short term insurance claims experience, required to provide an exceptional service and claims advice to all stakeholders. Insurer or mandated Broker experience with Personal Lines and Commercial Claims experience essential. · **Min ...
Senior Disability Claims Assessor - Cape Town, South Africa - Old Mutual
Description
Description
Role Overview
Use your specialist technical medical knowledge to assess risk for business and/or specific products.
Uses specialist technical knowledge to evaluate and manage the validity of contracts and determine and manage the liability of claims (Assessor).
Determines, selects and accepts risk and/or liability on behalf of the organisation.
Evaluates proposals and medical / financial evidence against business rules and practices.
Manage a portfolio of clients which encompasses presentations, reporting and assistance with the claims process.
Ongoing process optimisation & improvements within teams with a focus on implementing best practice in the longer term
Acts as mentor and coach for new staff
Collaborates effectively with others to achieve team goals
Regular engagement with Corporate teams, providing feedback to product team on claims trends
Accepts and lives the company values
Role Requirements
Grade 12/Matric with Biology, Mathematics
Completed medical / medically aligned Degree, e.g. Nursing, Occupational Therapy, Physiotherapy
Minimum 2 years Clinical experience
Experience in the Financial Service Industry is highly advantageous
Specialised medical knowledge through learning or experience - essential
Disability Claims assessment experience in a Group Assurance or Risk environment and GAP product knowledge - advantageous
Well developed interpersonal skills
Strong verbal and written communication skills
Attention to detail
Good presentation skills
Computer literate and proficient in MS Office programmes e.g. Word & Excel
Have sound analytical and problem solving abilities with a focus on attention to detail
Work effectively with internal and external colleagues and clients to accomplish organisational and team goals
Enjoy working in a progressive environment
Skills
Education
Closing Date
15 May 2024