Claims

ier (Parktown).Role ObjectivesTo ensure that sufficient information is sourced in order to allocate claims correctly.To ensure a WorldClass experience in terms of Customer Service i.e. Continuous impr

in helping our employees to realise their worth.The Overall Purpose of the RoleAssessing disability claims for validity taking into account the medical/clinical information, the job requirements and t

taffing (TAPS Schedule 736), Business Process Management (BPM), Business Process Outsourcing (BPO), Claims Processing, Collections, Customer Experience Provider (CXP), Customer Service, Digital Experi

andardsBuild long - term relationships with customers and suppliersCorrectly complete all guarantee claims and claims informationTrain and mentor all relevant personnel regarding VKBs policies and pro

ort on performance metrics, tracking progress and identifying areas for improvement;Manage case and claims processing, including travel and flight insurance claims, ensuring accuracy and compliance;Ma

d paid out on time.AdministrationEffective record keeping, ensuring that all required documents for claims are kept.Keep proper tracking of the marketingReporting & MeasurementSend out reports with in

of sub - contractor tendered prices and terms.Certification and assess sub - contractors invoices / claims and processing payment.Timely negotiation and conclusion of contractor final accounts.Liaise

ystemsEnsure correct and timeous finalisation of cases to facilitate reimbursements from funders of claimsConsistently and timeously communicate with Funders as contractually agreed through the releva

ll clients globally a range of alternative legal services which include document review, regulatory claims assessment, due diligence, verification, commercial contracts, repapering, specialist funds w

ision - making. Customer Training: Conduct virtual and in - person training sessions for customers. Claims Management: Oversee the claims process involving retailers and the debtors team. Logistics Ov

and index incoming tasks related to Retirement Fund disciplines, for example monthly contributions, claims, investment options, individual transfers in, section 14, section 28 processes etc. The incum

ings and Counseling Sessions to ensure that proceedings are fair and correct.Process Provident Fund Claims i.e. Withdrawals, Retirements, Death and Disability Claims.Identify, attract and select the r

OpportunitySantams Salvage Claims department has a position available for a Salvage Clerk based in Parktown, Gauteng.Role purposeThe purpose of this role is to ensure the safe and responsible sale and

on, NEC Compensation Events (notify, track, calculate, quote, assess, defend, motivate, negotiate), claims, impact assessments, change orders and instructionsRisk Management - Early Warnings, Risk Reg

n in an effective and unbiased manner.Ensure the timeous identification, if possible, of fraudulent claims, resulting in monetary savings for the company.To build and maintain relationships with relev

nsuring that agreed payment activity timelines are met.Submit payments on time and employee expense claims to the Treasury Coordinator for approval, ensuring all payments have the correct supporting d

rmance.Your Responsibilities Will Include The FollowingPension fund administrative dutiesDisability ClaimsDeath ClaimsRetirementsPension Powered Housing LoansPensioner and related benefit administrati

he Group. Working closely with the senior management team across Product, Pricing, Underwriting and Claims Services youll contribute to the development and execution of the broader strategy.Key Accoun

to the respective managersOversee the monthly rental agreement sequence declarationEnsure accident claims are logged and maintained until closed on My Business and recoveries are done where applicabl

vide transcripts (unofficial are acceptable at the time of application) to support your educational claims. Or, if you are using education to qualify in lieu of specialized experience you MUST provide

II, SR - 13: $3, 589.00 per monthExamples of DutiesExamines the more difficult and complex voucher claims;Examines all contracts prior to certification of funds by the Comptroller;Verifies contracts

ess Unit Hollard InsureDepartment Technical Commercial UnderwritingJob Family Operations - incuding Claims, Policy Servicing, Underwriting and RetentionsJob Type Classification PermanentReporting To T

enting Underwriting standards within CRSManaging the Underwriting MethodologyAssisting with the CRS Claims, claims mitigation, salvage and recovery processSetting of the budget and review the performa

ospecting for new brokers as well as business development opportunities.Engaging with Underwriting, Claims and Finance teamsEnsure alignment of quality standardsEnsure alignment of business processesE

no manual intervention from AF resourcesAdoption of Horizon workflow processes, ensuring bills and claims are processed through HorizonEnsuring manual processing is limitedData cleanup themes on memb

& Retro budgets are loaded on time & accurately. Follow - up on budget breakdown. Process all co ad claims & retro discount provisions according to SLA. Follow - up with Customer Managers to improve e

s.Update legal register and ensure accessibility according to legal regulations.Ensure relevant RMA claims are logged and submitted.Report on ClaimsProvide input into the development of site operating

nd processTo ensure emails are read and responded to timely and within the agreed turnaround times. ClaimsEnsure claims are processed accurately and submitted for timely for payment timely. ProjectsTo

m.Order preparations, prepare all financials before Audit time, available for Audit queries.Analyze claims data from Henner and Cigna and report to in - country partner to ensure that they get payment

respondence, and undertakings. You will also monitor and report on the optimal use of contracts and claims management systems. Your expertise will be crucial in reviewing legal material, collecting ev

abilitiesAnalysis Governance and risk managementRelationshipsInternal:ExecutivesBDMUnderwriting and Claims ManagerUnderwritersClaimsCredit controlSpecialist divisionsPortfolio management teamsAnd any

ithin the operational processes for Insure. This includes optimizing and generating efficiencies in claims, sales and servicing processes using statistical, actuarial and data science techniques. This

their daily operational needs.Collaborate with stakeholders to gather and document requirements for claims management, premium collections, premium allocations, revisions, underwriting, and new busine

ithin the operational processes for Insure. This includes optimizing and generating efficiencies in claims, sales and servicing processes using statistical, actuarial and data science techniques. This

problems? If yes, then MiWay is the place for you!Minimum Qualification Required 2 years end to end Claims experience. Matric (NQF 4)Minimum Experience 2 years experience in Motor Claims end - to - en

sure compliance with NRF policies and guidelines.Review and approve financial transactions, expense claims, advance requests, foreign payments, petty cash claims, and journal requests.Generate and fol

ger (GL)Prepare balance sheet reconciliations for all accounts and investigate discrepancies (e.g., claims reserves, premiums, payables, receivables)Ensure accuracy and completeness of financial trans

eports and recording of commercial minutes;General day to day contract management and assessment of claims;Generation of or input to project reports;Report any commercial risk issues to the project te

from strategy planning to execution and closeout.* Maintain accurate records of contracts, evaluate claims, and lead dispute resolution processes.* Notify stakeholders of claims or potential disputes

or Fixed Term Contract) from SAP.Place all documents for records purposes.Arranging the Petty Cash claims.Submit the complete and accurate forms from employees to Medical Aid Schemes and Pension Fund

ient records accurately, ensuring confidentiality.Assist with insurance verification and processing claims.Handle general office tasks such as filing, data entry, and organizing patient documentation.

brand/disease. Identify and communicate key clinical papers and evidence to support the brand core claims. Ensure training and understanding at the sales force level. Able to apply health economics d

ient records accurately, ensuring confidentiality.Assist with insurance verification and processing claims.Handle general office tasks such as filing, data entry, and organizing patient documentation.

e approval of the Contractor's milestone and invoice applications, Support technical aspects of all claims, variations and other contractual mechanisms, Support any insurance claims with technical inp

dentify gaps in processes, make recommendations to improve processes and prevent re - occurrence of claimsClassify risk events through assessment of category and/or type of event to ensure accurate ma

on division, focusing on translating cutting - edge scientific advancements into compelling product claims and innovative solutions specifically for the Sub - Saharan Africa (SSA) market.Role Overview

h and monitor service level performance indicators (as per SLA) for depots and transport providers. Claims Close monitoring of all current claims with the PIL ZA team for all regions Any other operati

inate with other departments to resolve issues when needed Accurately document and process customer claims in appropriate systems Lead fact - finding discussions to determine the best options for the

inate with other departments to resolve issues when needed Accurately document and process customer claims in appropriate systems Lead fact - finding discussions to determine the best options for the

elematics data, AI models, and Actuarial techniques to enhance pricing models, risk assessment, and claims management strategies. The ideal candidate will work with large - scale datasets, build predi

sts (order tracking, stock availability, retail prices, purchase prices, discounts, delivery dates, claims and returns questions etc.) Process, coordinate, and investigate customer shipment claims or

alent reflects this.Good Administration skillsRetirement Fund Administration experience advantageousClaims process experienceCompass & Chorus knowledge advantageousMicrosoft Excel knowledge advantageo

nder documents and preparing cost comparison schedulesConduct site inspections to verify contractor claimsPreparing monthly payment certificatesPrepare cost estimates and budgets for construction proj

ies/customer on a monthly basisService and Technical Back - up to CustomersEnsures customer queries/claims received from Technical Advisors are resolved timeouslyProvides technical support/advice to c

profitability and growth by ensuring that on - going service and support (amendments, renewals, and claims) provided to clients is delivered on time and improves the quality of the business underwritt

insurance eligibility of each claimant and ensure all data is captured accurately.Notify the client/claims handler/underwriter of all cases where applicable.Utilise the correct resources and provide t

n progress on a monthly basis.Key PurposeTo take inbound calls from Health Professionals, regarding claims queries and provide first time resolution. Provide excellent service and quality through Disc

Answers questions to providers related to Benefit Plans, Claims and related topics To communicate effectively for additional information as needed by providers Perform accurate data entry Perform elig

irement Funds.Administration of Annuity business, which includes monthly pension payments and death claims.Accurately load and maintain pensioner records, including personal, address, and banking deta

Y AREASObtain authorisation and re - authorisation for all identified patients to ensure fully paid claimsCapture data and communicate to all partiesIdentify and refer risk cases to minimise financial