Gap Claims Specialist - Westville, South Africa - Kaelo

Kaelo

Verified Company

Westville, South Africa

1 week ago

Posted by:

Thabo Mthembu

beBee Recruiter

Description

Company Description

Kaelo provides essential healthcare solutions ensuring the physical and psychosocial wellbeing of all South Africans towards lasting social change.

Kaelo meets the Healthcare needs of Corporate and Retail clients across South Africa - products offerings include Medical Insurance, Medical Aid, Gap Insurance, Kaelo Money and employee assistance programmes.

Job Description:

The Claims Specialist manages the assessment of claims and has specialised knowledge of the claims environment. There is a strong focus on accurately and efficiently resolving the claim received whilst ensuring exceptional customer service and satisfaction

Key Outcomes

The accurate and efficient processing of claims captured
Ad hoc duties

- support in the operation of other divisions

Contribute towards continuous improvement and innovation at process and procedure level
To ensure that all claims processing and queries are attended to accurately and within the agreed turnaround time
Contribute toward risk management
Assist clients with queries and provide suitable query resolution
Accurate completion of administrative targets on a daily basis
Dealing with multiple telephonic queries from members, brokers and franchises
Ongoing feedback to clients
Ad hoc functions as required by Management

Qualifications:

Work Experience
Required