| Date | 2025-01-18 |
|---|---|
| Job Title | Gap Claims Assessor |
| Employer | JenRecruitment More Information |
| Salary | 20000 |
| Category | Insurance And Investments |
| Location |
Western Cape / Cape Town |
Job Summary
A 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 required based on discussions with your manager:
- 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 record
- To assess the validity of the claim in accordance with the terms and conditions of the clients policy document and to make the relevant claim notes on the system
- To ensure a clients claim expectation is adequately addressed and managed by applying the TCF principals and effectively communicating with the client or broker regarding their claim
- To meet your daily minimum claim targets with a high level of accuracy and within service turnaround time
- To maintain and update your daily workflow tasks and queue
- To ensure high priority and escalated claims as identified by management are processed within 2 hours
- Interacting with medical aids, hospitals and medical practitioners regarding medical history and accounts required relevant to assessing the claim.
- Other administration related functions
Skills:
- Good written and verbal communication skills
- Good negotiation skills and effective in dealing with customers and meeting their expectations
- Good understanding of how medical aids work and operate
- Ability to apply administration principals and work with detail and a high level of accuracy
- Intermediary MS Office, especially Excel, Word and Microsoft Outlook skills
- Good time management
- Planning and organising
- Works well in a team and independently
- Coping with pressure and setbacks
- Been pro-active and using your initiative
Attitude:
- Ability to work well under pressure
- Commitment to meet daily targets
- Self-motivated
- Having a can do attitude
- Willingness to always assist clients with their claims and requirements
Salary and Other:
- Applicants must have a thorough understanding of medical aid operations or insurance policy administration and operations.
- Start date: as soon as possible, we are aware that some candidates may require 1 months notice period.
- Salary bracket: CTC +/- R20000 R28000
Kindly note that the first 3 months of probation and training will be done within our Client Contact Centre for all successful candidates. The successful candidate will then be assigned to their relevant department based on the companys requirements and the individuals progress and skills. This would mean that even though a successful candidate may have applied for the Claims Assessor position, they will still have their probation and training within the Client Contact Centre and may only be transferred to the Claims Assessing department based on the companys needs and the persons progress and skills gained within the Client Contact Centre.
Gap Claims Assessor position available in Western Cape, Cape Town. This job position was posted by JenRecruitment. The job has been posted as a premium ad on 2025-01-18 at 13:00:39 in the Insurance And Investments category
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