claims assessor jobs

Position: Claims Assessor – Individual Life Benefits Location: Sandton Industry: Long-Term Insurance | Banking Client Are you a detail-oriented professional with a passion for precision, service excellence, and impactful decision-making? Our client, a leading name in the banking and insurance space, is looking for a Claims Assessor to join their high-performing team. If you thrive in a...

Role Purpose Preliminary analysis and investigation of allegations related to fraud, waste, and abuse within the medical claims environment. Requirements QUALIFICATIONS - Matric - Bachelor's degree, diploma or higher certificate in a relevant field (e.g., healthcare, law, auditing, forensics) - Association of Certified Fraud Examiners (ACFE) - Certification in fraud examination, healthcare...

Job Overview Business Segment: Insurance & Asset Management Location: ZA, GP, Roodepoort, 4 Ellis Street Job Type: Full-time Job Ref ID: A-0002 Date Posted: 11/23/2025 Job Description To assess and adjust losses of complex claims for Standard Insurance Limited, South Africa, to deliver effective and efficient world class customer service and excel in operation, financial and service...

Company Description Standard Bank Group is a leading Africa-focused financial services group, and an innovative player on the global stage, that offers a variety of career-enhancing opportunities – plus the chance to work alongside some of the sector's most talented, motivated professionals. Our clients range from individuals, to businesses of all sizes, high net worth families and large...

Job Advert Summary:Rand Water is looking for a Medical Scheme Claims Assessor to manage daily operational requirements of the Rand Water Medical Scheme for claims assessing (auditing) and monitoring requirements for clinical IT administration system enhancements; align with Scheme rules and clinical protocols. Minimum Requirements: - Grade 12 - B.Cur Nursing degree of Diploma in General Nursing...

Job ID:15420Position Type:Full-TimeJob Function:Financial Services / AnalyticsWorkplace Type:Head OfficeDivision:TFG Financial ServicesProvince:Western CapeLocation:Cape Town NorthSuburb:Parow (Parow)Position Description:Claims Assessor: Insurance A challenging position exists within Financial Services for a claims assessor who is numerate, organised, thorough and a competent individual. Your...

MWL is dedicated to supporting, growing and empowering clients with affordable, simple, and suitable solutions, primarily through telephonic intermediary channels. We have approximately 100 tied sales agents, all dedicated to meeting the financial needs of our clients and prospective clients. MiWayLife’s vision is to establish a world-class direct financial service business that seeks to:⦁ offer...

A 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 the claim information onto the system - To verify and update any client personal information changes on the system policy...

Company DescriptionOUTsurance has been propelling the South African insurance industry forward for the last 26 years. As leaders in the field, we’re always looking for innovative ways to create digitally-advanced solutions, without losing sight of our human values. Our continued success can be attributed to OUTstanding employees who set the bar high with their energy and expertise. If you’re keen...

THE JOB AT A GLANCE As a Claims Assessor, you will be reporting to the Team Leader: Claims Assessor. You will be responsible for adjudicating and processing claims in an effective and efficient manner within the prescribed guidelines set out by Rand Mutual Assurance. WHAT WILL YOU DO? Claims Adjudication: - Verify claims captured for correctness and compliance - Capture / accept additional...

CLAIMS ASSESSOR (Gap Cover" Position Purpose:To ensure that all paper Gap claims are accurately captured into the iMed system Experience:3 years relevant healthcare industry, short term insurance and credit data capturing and claims processing experience Qualifications:Matric and RE5 Required Accountabilities:Client service delivery and quality: - Follow procedures and cooperate with peers...

JOB PURPOSEProcess and pay valid life/disability/dread premium waiver claims by reviewingclaims decisions made by life claims assessors; and manage risk by declininginvalid and fraudulent claims.RESPONSIBILITIESClaims Data Collection & AnalysisAsk questions, collect data from a variety of sources, analyse information andinvestigate claim. Ensure that the client policy is valid through the...

About Discovery VitalityLife Discovery 's core purpose is to make people healthier and to enhance and protect their lives. We seek out and invest in exceptional individuals who understand and support our core purpose, and whose own values align with those of Discovery. Our fast-paced and dynamic environment enables smart, self-driven people to be their best. As global thought leaders, Discovery...

Job Description Accurate assessment, investigation and validation of complex long-term insurance claims with a high value in accordance with the goals, objectives, processes and standards of the organisation in order to meet customer. These claims may include funeral , death, disability, dread disease and retrenchment claims Dear Future, Claims Handler, Welcome to FNB, the home of the...

Introduction Through our client-facing brands Momentum Group, 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 their financial goals and life aspirations. We help people grow their savings, protect what matters to them and invest for the future. We...

Job Description Job Overview: As a Complaints Specialist in our team, you will actively investigate and resolve complaints, ensuring good customer outcomes, regulatory timeframes are achieved, and company processes are adhered to. Using great communication skills, to work with customers and the business to gather all the information required to achieve great customer outcomes. Identify processes...

Role Purpose The successful incumbent will be responsible for assessing, reviewing, and managing living benefit claims in accordance with relevant legislation and company policy, while adhering to Service Level Agreements and meeting client and business expectations. Requirements QUALIFICANTIONS - Relevant degree or qualification (Desirable). - Grade 12 or equivalent qualification...

RESPONSIBILITIES Claims Data Collection & Analysis Ask questions, collect data from a variety of sources, analyse information and investigate claim. Ensure that the client policy is valid through the appropriate due diligence (such as listening to the policy sales/retention etc. phone conversation. Medically assess the validity of the claim by applying specialist medical assessing skills...

Primary Purpose of the Role: To ensure claims are assessed accurately and communicated effectively, in line with business rules and service level agreements. Key Responsibilities: - Assess an average of 7 benefits per day. - Communicate formally and professionally. - Independently assess claims within authority limits. - Maintain service level discipline. - Achieve Quality Assurance score...

Company DescriptionOUTsurance is a customer-centric financial services company with a global foot print. We are vibrant, successful and values orientated with an awesome dynamic culture encapsulated by the ethos that clients and staff “always get something OUT.” Our success can be attributed, amongst other things, to the outstanding people that work for us.The Claims Motor Assessing Drive-in...