claim investigation jobs in Centurion

Job Advert Summary:Applications are invited for the above-mentioned position, to be filled as soon as possible. Minimum Requirements:Qualifications & Experience- Matric- Business related qualification (Forensics/Internal Audit/Commercial/IT).- Medical Scheme Administration Experience, 1-2 years essential.- Medical Aid Industry Billing and Coding practices- Clinical and or Forensic background...

Identifying control breakdowns and producing high quality reports which include findings and formulating recommendations. - To investigate incidents of fraud, theft, corruption and money laundering in line with best practice methodology to mitigate fraud risks. - Establishing working relationships with business and discuss outcome of forensic.investigations and other fraud risk management...

Role Purpose To provide strategic oversight, deep technical claims expertise, and process innovation across Africa Life's end-to-end claims process. The role ensures consistent, integrated, and high-quality claims experiences across markets by aligning operations to product intent, underwriting, finance, and customer service. This role brings a strategic, risk-focused, and client-centred lens to...

Through our client-facing brands Metropolitan and Momentum, 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...

We are looking for a detail-oriented Senior Clerk to join our claims team. 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 with strong values. In...

KEY RESPONSIBILITIES Claims Processing: Manage the end-to-end claims process, including registration, assessment, validation, and settlement of claims.Ensure claims are processed within agreed service level agreements (SLAs) and in compliance with regulatory requirements.Accurately capture claims information and update records in the claims management system. Client Service: Communicate with...

ROLE OVERVIEW The claims administrator is responsible for the accurate processing of claims, within the agreed service level agreement between SALTEB and the fund and meeting production standard. The duties include requesting information and responding to enquiries, ensuring quality assurance on documents and assessing claim legitimacy. Key responsibilities include initiating new claims,...

Who are we? At MiWay, our purpose is to enable people to live their way. We understand that life is not just about "things" but the meaning that those things bring to your life. We believe that technology and innovation have infinite possibilities when it's inspired by humans by you. Therefore, we focus on our clients' needs; finding new ways to simplify their lives and how they do things. We...

Role Purpose The Short-Term Claims Consultant is responsible for the efficient and accurate processing of short-term insurance claims while delivering a high standard of client service. The role involves managing claims end-to-end, ensuring compliance with regulatory and company requirements, and maintaining client trust through professional and empathetic engagement. Key...

CIT Retail Claims Administrator REPORTING TO: CIT Claims Manager The above position is vacant at Midrand, reporting to the CIT Claims Manager. Key Performance Areas: (not totally inclusive): - Registering and processing of CIT claims on ICBM. - Receipt of CIT investigation dockets. - Constant communication with branches to address any claim queries or problems that the branches may need...

A well established law firm is seeking an experienced Office Manager / Attorney with expertise in Employment and Labour Law and a strong financial background to manage law firm operations and provide strategic legal and financial oversight. The role requires a professional capable of combining legal practice, office management, and financial control to ensure efficient, compliant, and sustainable...

Introduction A leading retailer within the FMCG sector, based in Centurion is looking for an experienced Sales Administrator to serve as a point of contact for customers with queries about products, orders, and deliveries and to provide general and administrative support to the Sales Team and provide overall assistance to the Sales Director as and when required. Duties &...

SENIOR APPLICATION ENGINEER The role of the Senior Application Engineer is primarily to assist and facilitate growth, improvement, and leadership within the Application Engineering department. The aim of the role will be to release the need for the Senior Technical Engineer for day-to-day involvement in Application Engineering as well as increase our client experience of Application...

Role Purpose To design, execute, and optimise automated procedures, generating accurate reports on quality statistics, while providing technical expertise, support, and guidance to enhance processes and drive business efficiency through technology. Requirements - Matric / Grade 12 - Essential - A bachelor degree or equivalent qualification in a relevant field such as Computer Science,...

Job Purpose: - To implement and ensure that all rules and regulations are followed according to the OHS Act No. 85 of 1993 and regulations. - Keeping all necessary staff members informed of any changes regarding the OHS Act. - To ensure that appropriate safety controls are implemented where necessary. - To act against any staff members that do not abide by the rules and regulations of the Act. -...

We are seeking a People and Culture Consultant to join our dynamic team and innovative company. About the People and Culture Consultant position Primary role is to support the business by providing expert advise and guidance in accordance with the company policies, procedures and within legislation. Responsible for the advice and timeous management and reporting on employee relations,...

Role Purpose Complete the registration of Chronic conditions and treatments and to give support to the DUR Pharmacists. Requirements - Matric - essential - Pharmacist Assistant Basic - essential - Post Basic Pharmacist Assistant Qualification or Pharmacy Technician Certificate - desirable - Registration with the Pharmacy Council as Pharmacist Assistant - essential - Member of the PSSA -...

Who are we? At MiWay, our purpose is to enable people to live their way. We understand that life is not just about "things" but the meaning that those things bring to your life. We believe that technology and innovation have infinite possibilities when it's inspired by humans by you. Therefore, we focus on our clients' needs; finding new ways to simplify their lives and how they do things. We...

Who are we? At MiWay, our purpose is to enable people to live their way. We understand that life is not just about "things" but the meaning that those things bring to your life. We believe that technology and innovation have infinite possibilities when it's inspired by humans by you. Therefore, we focus on our clients' needs; finding new ways to simplify their lives and how they do things. We...

Who are we? At MiWay, our purpose is to enable people to live their way. We understand that life is not just about "things" but the meaning that those things bring to your life. We believe that technology and innovation have infinite possibilities when t's inspired by humans by you. Therefore, we focus on our clients' needs; finding new ways to simplify their lives and how they do things. We...