Job Description
About the Role
Our financial claims department is seeking a skilled Financial Claims Administrator to join our team in Benoni, Ekurhuleni. As a key member of our team, you will be responsible for processing payments to service providers and/or members, while maintaining accurate records and ensuring timely communication with stakeholders.
Key Responsibilities
- Payments are made in a timeously manner according to SLA: Hospital claims paid within 2 hours of assessment, Funeral claims paid same day as assessment, Day-to-day claims paid weekly within SLA.
- Receipt of payment advice and allocations to correct claim.
- Resolution of internal and external queries within SLA.
- Service providers/disbursements are paid with SLA.
- Accurately validating claims as per set out procedures: Check claims to prevent potentially fraudulent activities. Ensure claim values are calculated correctly. Ensure claim limits are calculated correctly.
- Perform policy validation.
- Distinguish between insurer claims and WCA related claims.
- Ensure an accurate and up-to-date record is kept of all payments made: All claims registers are updated daily.
- Accurate capturing of Service providers/disbursements on the system.
- All payments are reconciled daily as per set out procedures.
- Ensure month-end reporting is completed timeously and according to SLA: Accurate compilation of Financial Claims month-end reports. Ensure reports are submitted for review with SLA.
Requirements
- Matric Accounting or Finance qualification RE5
- Minimum 2 years experience in insurance claims
- Minimum 2 years experience in medical claims
- Experience in claims operating systems
Salary & Benefits
Not mentioned
How to Apply
Click the green “Go Apply” button below to apply directly online with the employer.
About Accounting / Finance Jobs in Gauteng
In Gauteng, South Africa, the accounting and finance industry is a significant sector, offering various career opportunities for professionals with the right skills and qualifications. Typically, this field is driven by the growth of multinational corporations and local businesses in industries such as technology, financial services, and manufacturing. As a result, job seekers can expect to find a diverse range of roles available, from entry-level positions to senior leadership roles.
When it comes to salary expectations, accounting and finance professionals in Gauteng can generally expect to earn salaries that fall within broad ranges. Typically, salaries for entry-level roles start around R400 000 – R600 000 per annum, while more senior roles can command salaries ranging from R1 million to over R3 million per annum, depending on factors such as experience, company size, and industry sector. However, it’s essential to note that these are broad ranges, and actual salaries may vary widely.
Common skills required for accounting and finance roles in Gauteng include strong technical knowledge of financial management principles, analytical and problem-solving skills, attention to detail, effective communication skills, and proficiency in financial software and systems. Additionally, many employers also value candidates with experience in budgeting, forecasting, and financial analysis. In some cases, a degree or diploma in accounting, finance, or a related field may be required.
Industries that commonly employ accounting and finance professionals in Gauteng include the financial services sector, technology industry, manufacturing sector, and public sector entities. These sectors require skilled professionals to manage their finances, prepare budgets, and provide strategic guidance on financial matters. Job seekers can expect to find opportunities across these sectors, from small businesses to large multinational corporations.
For those interested in pursuing a career in accounting or finance, there are many development opportunities available. Typically, professionals in this field can progress to senior roles, such as financial manager or director of finance, after gaining relevant experience and developing their skills. Additionally, many employers offer training programs and mentorship opportunities to support the career development of their employees.
This information provides general career guidance. Actual salaries and requirements vary by employer.
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