Claims

dentify and prevent scheme exposure to fraud, waste and abuse related to inappropriate or erroneous claims submitted by healthcare providers. To analyse and audit claims for clinical appropriateness,

forms across all entities. Loading of beneficiaries onto the online banking platforms. Ensure staff claims expenditure are accurately and timeously captured across the business.Credit Cards Manage the

t SupervisorJob Purpose: Responsible for post deal seller support, which includes query resolution, claims & buy - back processing, managing the seller collections process and assisting with any deal

ns with suppliersSupplier management regarding commercial aspectsManaging and recording of supplier claimsDrafting, reviewing and issuing of enquiriesAttending to commercial queries during tender stag

tration Clerk based in Johannesburg.The purpose of this position is to handle shipping and supplier claims.Duties Would IncludeEngage with principals and freight agents.Generating shipping Price, shor

PurposeHelp manager to manage Sales Program and processing claims, as well as monitoring the usage of Sales deductionKey responsibilities for this position include, but are not limited to:Help manager

enses in line with Branch standards and limitsMaintaining & managing Fund AllocationsEliminating PI ClaimsFund administration role specific Monthly contribution reconciliations for Pension and Provide

and takes initiative. You will work closely with the Projects Managers and QS incompleting monthly claims on various projects within the Property Industry. The role will bebased at Stock Capital's He

the insured third parties following losses suffered by the customers and negotiate the reduction of claims cost and retention of the customers.ResponsibilitiesSettlement NegotiationUtilising your expe

alue (MOV) guidelinesEnsure invoices are not issued for out - of - stock productsProcess and manage Claims and ReturnsProcessing and managing of quotes for customers Monitoring customer portals for ne

g collections and credit management operations, reducing open deductions, speeding up validation of claims and ensuring accurate allocation of invoices to correct accrual; all in line with departmenta

enses in line with Branch standards and limitsMaintaining & managing Fund AllocationsEliminating PI ClaimsFund administration role specific Monthly contribution reconciliations for Pension and Provide

Role PurposeTo assist with the claims audit process and ongoing monitoring on Outsource, Broker Binder Business Partners and UMAs.RequirementsGrade 12 (Matric)FAIS Completed RE5 Certificate and Credit

flow is maximized through collections and minimization of risk.Key ResponsibilitiesTo screen unpaid claims and recover effectivity from correct source.Sending emails to medical aid.Monitor accounts an

ientated environment.Ensure effective management of service level agreements between Living Benefit Claims and other stakeholders, by means of effective capacity planning and absenteeism management. M

tes APIs that enable insurers to connect with digital distribution channels and to administer their claims cost effectively.Curacel Grow - Add insurance to any productCuracel Health - Process insuranc

enses in line with Branch standards and limitsMaintaining & managing Fund AllocationsEliminating PI ClaimsFund administration role specific Monthly contribution reconciliations for Pension and Provide

dustry.Deliverables include, but will not be limited to Data gathering and analysis with a focus on claims and fraud Development, implementation, monitoring and ongoing evolution of fraud models and c

ss.RequirementsMinimum Matric with experience in a similar roleMinimum 2 - 3 years of experience in claims processing, quality assurance, or risk assessmentExperience with retrenchment, disability, li

ce to Cashbuild pricing policyPending price changes to be actioned as per the Cashbuild WaySupplier Claims and CorrectionsEnsure that all claims are validated with the Suppliers pick up slips or credi

Travel & Expenses Auditor"From Boarding Passes to Expense Claims"Auditing Adventures awaits!"Join TOP EMPLOYER CHEP at their Durban, Westville OfficeIf working with high volume data, Quick turnaround

industry, preferably in a similar roleA good understanding of the insurance industry, in particular claims, reinsurance, compliance underwriting, insurance accounting and financial principlesA combina

ce to Cashbuild pricing policyPending price changes to be actioned as per the Cashbuild WaySupplier Claims and CorrectionsEnsure that all claims are validated with the Suppliers pick up slips or credi

lence In Respect Of Managing And Oversight Of Bills Process Collections of deposits of other income Claims Process Communications and reporting to clients Production of YE checklists Ensure Indexing a

rder - to - delivery process. This position is responsible for investigating and resolving customer claims, billing invoices, and maintaining effective communication with customers regarding order sta

e provider invoicesSupport the audit control process for the relevant marketsRoot cause analysis on claims with intent to reduce no. of claims received from customer Drive the transition from off - in

tions processing and managing defaults in line with S13A of the PFA.Guiding Administrators in Death claims processing in line with S37 of the PFA where required.Ability to understand and resolve membe

ses in line with Branch standards and limits Maintaining & managing Fund Allocations Eliminating PI Claims Fund administration role specific Monthly contribution reconciliations for Pension and Provid

nd reconciliation of accounts.Collection of payments on the due date as per trading termsRequesting claims from customersInvestigation of claims deducted off customers paymentsPreparation of credit an

and underwriting excellence.What You Will DoWork closely with other team members in, Underwriting, Claims, Business Development and Regional teams to develop new digital underwriting opportunities an

ider Networks Management. Proven track record in stakeholder relationship management. Experience in claims or case management is advantageous. Strong analytical, reporting, and presentation skills. Pr

t distributors with back - order enquiries.* SMR (Spare Parts Mispacking Report) process: receiving claims, checking claims, submission claims to TSAM, raised debit / credit notes. Obtaining authoriza

ion procedures are followed. (Transfer pricing policy/R&D allowances)Insurance Manage all Insurance claims together with the Legal department. Ensure all claims are dealt with timeously and efficientl

es to ensure their input and advice is appropriate and forward lookingHelp to ensure that the Motor Claims area operates in accordance with relevant regulatory and legal requirements and works to ensu

the optimization of post - sales insurance operations, including customer service, retentions, and claims management. This role requires a strategic leader with a strong operational background in ins

must (Afr & Eng client base) - Minimum 3 years recent experience in RAF Litigation (Third Party Claims) at a law firm a must - Computer literate in MS Office and Caselines/Court Online - Good typi

bjectives.Ensures the success of new product registrations, line extensions and new indications and claims in alignment with the business plan.Manages the coordination, compilation, submission of new

to minimize leakage. Maintaining accuracy in reserves and payments while managing the lifecycle of claims is crucial. Adherence to company policies and procedures is paramount to ensure operational e

e for owning the full revenue cycle for ABA providers, including eligibility, authorizations, clean claims, denials resolution, payer communication, posting, and reconciliation. This role plays a crit

to minimize leakage. Maintaining accuracy in reserves and payments while managing the lifecycle of claims is crucial. Adherence to company policies and procedures is paramount to ensure operational e

standards are met. Work actively with minimal supervision recovering monies on both Return of Goods claims and Shortfall & Liability claims following the sale of goods. To review, assess and alloc

ation typing experience at a law firm - Preference to candidates with experience in RAF Third Party Claims / Personal Injury law - Dictaphone typing experience not essential - Good typing speed a must

ancial tasks. Complete statutory returns when necessary. Prepare annual budgets. Manage and control claims payment processes. Job requirements: Minimum 2 years related experience, including claims man

- LLB Degree completed - Admitted as an Attorney - Experience in General Litigation and Third Party Claims - Well presented and professional - Driver’s license and own reliable vehicle - To start as s

ies. Preparation of project material schedule. Getting quotation to price the bills. Preparation of claims. Physical site measurements for claims. Tendering. Assisting the senior quantity surveyor. Pr

ith the ultimate goal of perusing a career in sales.Available: 1 February 2018Job responsibilities: Claims Services & Claims Administration New Business Administration Manage Business Conservation

s clerk is required to start immediately in Midrand. Job responsibilities: Credit stock into system Claims for lost / damaged stock Receiving of stock returns Check, control and capture of POD’S from

e Construction industry is looking for a Quantity Surveyor. Key responsibilities Prepare and submit claims for payment. Prepare and submit variation orders. Preparation of contract related documents.

y is R 15 000 per month + Commission Qualifications and Experience: Have 3 Years’ Experience in the Claims Processing Environment Tertiary commerce or another relevant Bachelor’s Degree Have a backgro

ontrol a must - Knowledge of legal process regarding Debt Recovery - Experience in credit insurance claims highly advantageous - Professional and well presented - Good problem solving and conflict han

c. - Manage Operations - Assist with the recommendation for pre - legal action and credit insurance claims - Identify potential new clients for all company products and strategic partners and request

ll and Head Office Admin of new appointments, transfers, promotions and terminations Administer all claims (disability, death, funeral) Obtain necessary documentation and submit Handle and resolve all

tor Key Performance Areas: Financial Success - Monitoring Operational Effectiveness - Processing of Claims and claims reporting Manage Finances of Business Unit People Satisfaction Stakeholder and Cli

tor Key Performance Areas: Financial Success - Monitoring Operational Effectiveness - Processing of Claims and claims reporting Manage Finances of Business Unit People Satisfaction Stakeholder and Cli

in High Court - and Magistrate’s Court Litigation at a law firm a must - Experience in Third Party Claims (on behalf or Plaintiff) advantageous - Good typing skills - Computer literate in Lexpro - St

ction) a must - Knowledge of legal process regarding Debt Recovery - Experience in credit insurance claims highly advantageous - Professional and well presented - Good problem solving and conflict han

specialists andcontractorsAssist the Engineers with regards to preparing or changing extensions and claimsCapture relevant information in the event of claims being instituted by a Contractor including

specialists andcontractorsAssist the Engineers with regards to preparing or changing extensions and claimsCapture relevant information in the event of claims being instituted by a Contractor including

in High Court - and Magistrate’s Court Litigation at a law firm a must - Experience in Third Party Claims (on behalf or Plaintiff) advantageous - Good typing skills - Computer literate in Lexpro - St

c. - Manage Operations - Assist with the recommendation for pre - legal action and credit insurance claims - Identify potential new clients for all company products and strategic partners and request