Vacancy Details
Employer: Kontak Recruitment
"Claims Assessor (JB4315)
Claremont, Cape Town, Western Cape
R16 000 - R19 000 CTC per month based on experience
Permanent
A leading provider of insurance solutions, dedicated to delivering exceptional service and peace of mind to their clients and strives to exceed expectations by consistently upholding the highest standards in the industry is looking for a claims assessor to join their team.
As a Claims Assessor, you will play a crucial role in ensuring the efficient and accurate processing of insurance claims as well as the validity of the claims. Additionally, you will be responsible for communicating effectively with clients and brokers to address claim expectations and manage inquiries.
Minimum Requirements:
Medical Aid claims processing experience
Administration experience
Insurance industry experience
Excel proficient
MS Office proficient
Duties:
Review and authenticate all incoming GAP claim documents, and proactively request any missing documentation.
Adhere to established procedures for processing claims, meticulously recording all pertinent information into our system.
Validate and amend client personal data changes within the policy records on the system.
Evaluate claim legitimacy according to the terms and conditions outlined in the client's policy documentation, and meticulously document findings.
Ensure client satisfaction by effectively addressing and managing claim expectations, employing Treating Customers Fairly (TCF) principles, and maintaining clear communication with clients or brokers.
Achieve daily minimum claim targets with precision and within specified service timeframes.
Organize and update daily workflow tasks and queues to ensure timely processing.
Prioritize and expedite high-priority and escalated claims, ensuring resolution within a strict two-hour timeframe as directed by management.
Collaborate with medical aids, hospitals, and medical practitioners to gather relevant medical history and account details crucial for claim assessment.
Perform various administrative duties as needed to support departmental operations.
IMPORTANT: We specialize in specific niche fields. Regret that we are unable to provide assistance for any fields outside of this scope. Fields can be viewed on our website.
Kontak Recruitment Disclaimer:
Equal opportunity: All backgrounds are welcomed, with no bias. All are considered based on requirements.
Job specifics: Requirements mirror advertisement, duties may adjust for client needs.
Fair process: Fair assessment, only shortlisted candidates contacted due to volume.
Privacy: Data processed as per Privacy Policy. By applying, you agree to data handling. We safeguard applicant info.
Candidate verification: Candidates selected by the client are verified. False info may disqualify or end employment via the client.
Offer clarity: Advert is not a binding offer. Written offers based on pre-employment conditions.
No direct link: Advert is not tied to Kontak Recruitment. We assist in the employment process ONLY.
Applicant Responsibility: Upon applying, confirmation of receipt for a specific advert is given. If no confirmation is received, you must verify with Kontak Recruitment.
"
Candidate Requirements
Medical Aid claims processing experience
Administration experience
Insurance industry experience
Excel proficient
MS Office proficient
16 people have applied for this job. 240 people have viewed this job.
About Kontak Recruitment
Kontak Recruitment is a Pastel Certified Recruiter which specializes in the recruitment of personnel on all career levels including the placement of temporary, contract as well as permanent staffing. We enjoy the personalized approach with regards to out candidates focusing on their needs and requirements as well as a personalized approach with our clients in delivering an excellent service.
Kontak Recruitment conducts business in an ethical and honest manner. We aim at building long term relationships that are to the mutual benefit of all parties. We offer a responsible and personalized service to clients and candidates. We encourage an employment environment that provides equal opportunities for all employees. All positions and applications remain confidential protecting the rights and interests of both the client and the candidates.
Our core focus is delivering a staffing solution in the niche fields of Pastel Consultants,finance as well as office support. As part of this service offering we include extensive reference and qualification checks as well as a criminal and credit check. Our focus is quality and we will present the most efficient and integrated ways of satisfying the skills need within the company.
Permanent staff placements – We strive to find the right fit and providing support to client and candidate during the first three months of the employment.
Temporary and Contract placements – We offer immediate access to staff on all levels on a flexible basis. Kontak Recruitment administers the payroll and all statutory returns.
Terms and Conditions Available on Request
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