64 Medical scheme Jobs and Work in Randburg Gauteng

Insurance Claims Specialist
Braveheart Financial Services (Pty) Ltd —Johannesburg North, Gauteng
- R20 000 - R30 000 a month
Quick Apply
12d
Actuarial Manager
ASI Financial Services —Bryanston, Gauteng
- Full-time
Quick Apply
12d
Clinical Coordinator
MSO International (Pty) Ltd —Sandton, Gauteng
Quick Apply
Backend Software Developer
Fragomen —Johannesburg, Gauteng
- Full-time
Clinical Co-ordinator
MSO International (Pty) Ltd —Sandton, Gauteng
- Full-time
Quick Apply
Immigration Coordinator - French Speaking
Fragomen —Johannesburg, Gauteng
- Full-time
Credit Controller - Medical Aid Claims & Debtor Management (Radiology Practice)
Provantage media —Ekurhuleni, Gauteng
- Full-time
Quick Apply
10d
Chief Financial Officer
University of the Witwatersrand —Johannesburg, Gauteng
Risk Manager: Managed Care Specialty Contracting
The Focus Group —Sandton, Gauteng
- R1 500 000 a year
- Full-time
HR Business Partner
Sparrow Schools Educational Trust —Johannesburg, Gauteng
- R29 000 - R31 000 a month
Quick Apply
4d
Problem Analyst
Vitality —Sandton, Gauteng 2196
11d
Incident Manager
Vitality —Sandton, Gauteng 2196
10d
People & Payroll Strategic Partner
Servier —Midrand, Gauteng
- Full-time
Regional Product Expert - Lane Sorting
Tomra —Johannesburg, Gauteng
- Full-time
Quick Apply
Data Privacy Associate
Vitality —Sandton, Gauteng 2196
PRM Lead (Internal)
Sage —Johannesburg, Gauteng
Immigration Coordinator - German Speaking
Fragomen —Johannesburg, Gauteng
- Full-time
Compliance Specialist (ISO/SOC)
MRI Software —Johannesburg, Gauteng
- Full-time
Senior Data Scientist
Discovery Ltd. —Sandton, Gauteng
SALES REPRESENTATIVE
ASI Financial Services —Johannesburg, Gauteng 2191

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Insurance Claims Specialist

Braveheart Financial Services (Pty) Ltd
Johannesburg North, Gauteng

Quick Apply

Job Details

Permanent
R20 000 - R30 000 a month
12 days ago

Full Job Description

Insurance Claims Specialist

The role is primarily office-based and requires strong attention to detail, excellent communication skills, and the ability to work under pressure.

Key Responsibilities

Gather complete and accurate details of insurance claims from clients.
Assess and process motor, personal, commercial insurance claims.
Work with insurers and loss adjusters to investigate and validate claims.
Liaise with clients, underwriters, service providers, and other stakeholders throughout the claims process.
Ensure clients receive fair settlements in accordance with policy terms and conditions.
Maintain regular communication with clients to provide updates and ensure excellent customer service.
Prepare, review, and maintain accurate claims documentation and records.
Manage Motor Aggregate Funds by monitoring, allocating, and reconciling claims the to pay multiple motor-related claims under an agreed facility or annual limit. This includes ensuring claims are paid within the available aggregate amount, tracking fund utilisation, identifying potential shortfalls, and providing accurate reporting to insurers and management.
Liaise with Medical Aid Schemes regarding member benefits, authorisations, claims submissions, and payment queries to ensure timely processing and resolution of healthcare-related claims.
Handle claims involving Long-Term Insurers, including life, disability, income protection, and critical illness policies, ensuring compliance with policy requirements, gathering supporting documentation, and facilitating efficient claim settlements.

Skills and Competencies

Strong analytical and problem-solving skills.
Ability to understand and interpret technical insurance information.
Sound decision-making and judgement.
Excellent numerical and financial reconciliation skills.
Strong interpersonal and communication abilities.
Effective negotiation and conflict-resolution skills.
High level of accuracy and attention to detail.
Ability to prioritise workloads and meet tight deadlines.
Ability to work independently and use initiative.
Proficiency in Microsoft Excel.

Work Environment

Primarily office-based with regular interaction with clients, insurers, brokers, medical aid administrators, long-term insurers, assessors, and service providers.
Fast-paced environment requiring effective time management and the ability to manage multiple claims simultaneously while maintaining high standards of customer service and regulatory compliance.

Pay: R20 000,00 - R30 000,00 per month

Experience:

Insurance: 5 years (Required)

Work Location: In person

Quick Apply

Refine Your Search

medical scheme jobs in randburg gauteng

Insurance Claims Specialist

Actuarial Manager

Clinical Coordinator

Backend Software Developer

Clinical Co-ordinator

Immigration Coordinator - French Speaking

Credit Controller - Medical Aid Claims & Debtor Management (Radiology Practice)

Chief Financial Officer

Risk Manager: Managed Care Specialty Contracting

HR Business Partner

Problem Analyst

Incident Manager

People & Payroll Strategic Partner

Regional Product Expert - Lane Sorting

Data Privacy Associate

PRM Lead (Internal)

Immigration Coordinator - German Speaking

Compliance Specialist (ISO/SOC)

Senior Data Scientist

SALES REPRESENTATIVE

I want to receive the latest job alert for medical scheme in randburg gauteng

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