- Matric with Biology, Mathematics, or Accounting essential.
- Completed financial degree, eg. BCom/ Business aligned degree or medical / medically aligned degree, e.g. Nursing; Occupational Therapy; Physiotherapy, or a three (3) year related diploma is essential.
- Claims assessing experience would be an added advantage.
- Specialised medical knowledge through learning or experience is essential.
- Experience in the Financial Service Industry would be advantageous.
- PC proficiency in MS Office i.e. Word, Excel, etc.
- Well-developed interpersonal skills.
- Strong verbal and written communication skills particularly the ability to have difficult conversations.
- Attention to detail.
- Well-developed problem-solving skills.
- Good presentation skills.
- Must be a team player.
- Must be willing to work shifts and overtime where necessary.
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Claims Assessor
2 days 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
3 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
2 weeks 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
4 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
3 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
6 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
2 weeks 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
1 day ago
JenRecruitment Cape Town, South Africa Full timeA vacancy exists for a Claims Assessor in our Gap Claims Assessing Department. (Claremont Cape Town) · Job description & duties: · The duties for which you will be responsible in terms of this contract are briefly listed below and will be subject to amendment from time to time as ...
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Claims Risk Assessor
3 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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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 day 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 fol ...
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GAP Claims Assessor
1 week 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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Medical/GAP Claims Assessor
1 week 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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Senior Disability Claims Assessor
1 week ago
Old Mutual Cape Town, South Africa Full timeDescription · 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) ...
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Claims Assessor: Non Motor
20 hours ago
Old Mutual Cape Town, South Africa Full timeDescription · Old Mutual Insure is looking for a forward-thinking , driven Claim Assessors in Cape Town and George . · The role will effectively investigate, adjust and report on assigned claims, thus ensuring containment of all Non Motor claims spend on providing excellent serv ...
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GAP Claims Assessor
1 day ago
Status Staffing Claremont, 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) ...
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claims assessors
1 day ago
Dante Personnel Northern Suburbs, South AfricaMinimum requirements: · Passed Grade12 with Mathematics · Tertiary qualification in business, management or finance · 4 years proven work experience in assessing Individual Insurance claims · Typing speed of 25 words per minute · Required to assess claims and communicate with e ...
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Claims and Customer Care Consultant
2 weeks 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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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 ...
Claims Assessor - Cape Town, South Africa - Old Mutual
Description
Description
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 evaluate and manage the validity of contracts and determine and manage the liability of claims.
Determines, selects and accepts risk and/or liability on behalf of the organisation.
Evaluates financial and medical evidence against business rules and practices.
Exercises discretion in decision making within standardised practice.
Role Requirements
Skills
Education
Closing Date
08 May 2024