Job Overview The Policy Review Adviser will manage referrals received into the Policy Analysis Team from a variety of sources relating to misrepresentation, non-disclosure and potential indemnity concerns, within agreed authority levels and within agreed SLA. Job Responsibilities - Investigate all cases of potential misrepresentation and non-disclosure at policy inception and claims stage...
Overview The Complaints Officer is responsible for conducting investigations into complaints and the Code of Conduct. As team leader, the successful candidate will supervise the activities of staff members in the complaints department. This position reports to the Manager: Legal, Claims & Complaints. Responsibilities - Provide integrated functional leadership, planning and decision-making for...
Job Overview The Complaints Officer is responsible for conducting investigations into complaints and the Code of Conduct. As team leader, the successful candidate will supervise the activities of staff members in the complaints department. Reporting This position reports to the Manager: Legal, Claims & Complaints. Team Leadership and Management of Complaints Investigation Process Provide...
Position Details - Job Title: Complaints Administrator – Core Business - Department: FSP – Core Business - Reports To: Business Administrations Manager - Location: Durban - Employment Type: Full-time Job Purpose The Complaints Administrator will be responsible for providing comprehensive administrative support to potential and existing Icebolethu FSP clients. The role requires exceptional...
Complaints and Escalations Team LeaderJob Purpose:To lead the Complaints and Escalations Team in efficiently managing and resolving complex customer complaints and high-level escalations related to medical aid and gap cover claims and administration. The role ensures timely resolution, compliance with regulatory requirements, root cause analysis, and the implementation of service recovery and...
A leading financial services provider in South Africa is seeking a Building Assessor to handle complex insurance claims. The ideal candidate will have a minimum of 5 years experience in the field and 3 years in the Short-Term Insurance Industry. Responsibilities include managing customer complaints and audits, ensuring proper policy interpretation. This role offers a full-time position and...
Job Description Claims Processing The following directly centers around which your daily obligations revolve: - Authorize claims within the set mandate and resolve all claims within the agreed productivity targets and turnaround times by utilizing the claims diary system effectively. - Apply and effectively communicate technical skills and resolve all technical issues using available tools and...
Claims Fulfilment Consultant A successful and large Homeloan and Insurance company requires the services of a Claims Fulfilment Consultant to join their team. The goal is to consistently exceed and practice customer expectations as governed by regulations on a regular basis and to drive timely settling of claims whilst applying risk management principles at consultant level. Duties &...
Who are we? Sanlam Life and Savings (SLS) is focused on serving our retail and corporate clients in South Africa and further developing our strategic advantages in the South African market. Sanlam Life and Savings consists of the following business units Retail Mass, Corporate, Risk and Savings, Glacier and various business enabling functions. The Sanlam Life and Savings Office provides...
To effectively and efficiently manage the claims department to provide superior claims service and build excellent relationships with service providers, thereby ensuring the retention and support the business strategy. - Take appropriate action to minimise cancellations - Ensure retention targets are met - Ensure appropriate minimisation of claims and claims expenses - Ensure and contribute to...
Let's Write Africa's Story Together! Old Mutual is a firm believer in the African opportunity and our diverse talent reflects this. Job Description Purpose of the Job Facilitate and mediate an independent process for claim rejection disputes or claims that cannot be resolved through the organisation's 1st line complaints management process. Critical Objectives And Responsibilities Facilitate...
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 organization in order to meet customer. These claims may include funeral , death, disability, dread disease and retrenchment claims. Hello Future Motor Claims Handler, Welcome to FNB, the home of the...
JOB DESCRIPTION The Claims Consultant will contribute to the Organizational goals by validating, assessing and finalizing claims within policy guidelines and performing all claim related functions in a manner that promotes the achievement of Company objectives and service excellence. KEY OBJECTIVES, DUTIES AND RESPONSIBILITIES - Ensure that policies, procedures and procedures are adhered to -...
We are looking for a detail‑oriented Senior Clerk to join our claims team on a fixed term contract. You will be responsible for preparing claim forms, verifying information, and corresponding with agents and beneficiaries. You will also handle client inquiries, review policies, determine coverage, calculate claim amounts, and process payments. You will be working for a well‑established company...
A prominent insurance company in Johannesburg is seeking a professional to facilitate and mediate disputes regarding claim rejections. Responsibilities include investigating complaints to ensure fairness, maintaining relationships with stakeholders, and developing fraud prevention strategies. The ideal candidate will have a law degree, extensive experience in complaints management, and expertise...
Field Assessor: Heavy Commercial Claims - JHB Date: 20 Jan 2026 Location: Johannesburg, Gauteng, ZA CAREER OPPORTUNITY - A position has become available for a Field Assessor, Heavy Commercial Vehicle (HCV) claims. The position will be based in the Motor Claims department at the Hill On Empire, Johannesburg. - The candidate will be expected to work from and in Gauteng and neighbouring...
Job Overview: The Policy Review Adviser will manage referrals received into the Policy Analysis Team from a variety of sources relating to misrepresentation, non-disclosure and potential indemnity concerns, within agreed authority levelsand within agreed SLA. Job Responsibilities: - Investigate all cases of potential misrepresentation and non-disclosure at policy inception and claims stage...
Overview 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 requirements. To manage control and attend to contractor audits authorisations over-mandate upfront assessments customer complaints and enforce correct interpretation of the Homeowners...
A leading insurance firm is seeking a professional to manage claims disputes in Johannesburg. The ideal candidate will have an LLB degree, 5-8 years of complaints management experience in the General Insurance Industry, and ability to resolve escalated customer queries effectively. This role will also investigate and analyze complex claims while ensuring compliance with policies and legislation....
CAREER OPPORTUNITY - A position has become available for a Field Assessor, Heavy Commercial Vehicle (HCV) claims. The position will be based in the Motor Claims department at the Hill On Empire, Johannesburg. - The candidate will be expected to work from and in Gauteng and neighbouring regions. WHAT WILL YOU DO? - The purpose of this position is to determine the quantum and merit of segmented...