A financial services provider in Centurion seeks a Claims Assessor to evaluate and manage living benefit claims according to legislation and company policies. The ideal candidate will have at least 1-2 years of experience in claims processing, a Grade 12 qualification, and be adept in building and maintaining client relationships. Responsibilities include assessing disability claims,...
A leading healthcare administration company in South Africa is seeking a Claims Processing Manager to effectively manage the claims processing department. The successful candidate will ensure accurate and timely processing of claims, oversee staff performance, and handle escalated customer inquiries. A minimum of 5 to 8 years of management experience in a medical aid administration environment,...
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...
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...
Introduction Through our client-facing brands Momentum Group, 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...
Company Description OUTsurance Shared Services is a customer-centric financial services company with a global foot print. We are vibrant, successful and values orientated with an awesome dynamic culture encapsulated by the ethos that customers and staff “always get something OUT.” Our success can be attributed, amongst other things, to the outstanding people that work for us. Job...
Job description:The Claims Consultant is responsible for coordinating and overseeing, managing and negotiating the settlement of the claim. The consultant is accountable for finalising the claim end-to-end and must have knowledge of Commercial and Personal lines products and be able to process motor as well as non-motor claims Responsibilities: - Register claims and appoint assessors - Manage...
Introduction The Life Insurance division within Momentum are looking for a dynamic individual to fulfil the role of an Income Protection Claims Manager. The role will be based in Centurion. Role Purpose To head up a team that provides market leading claims assessment capability for individual life insurance benefits (particularly income protection and combination (critical illness and...
PERSONAL LINES CLAIMS ADMINISTRATOR – CENTURION Where precision meets people. If you're an administrative maestro with a passion for insurance, we've got the perfect role waiting for you. Step into a high-impact position where your attention to detail and time management skills will take centre stage. As a Personal Lines Claims Administrator, you’ll guide insurance claims from start to...
A dynamic recruitment firm is seeking a Senior Claims Operations Manager in Pretoria to lead the operational and strategic claims function. This role requires a relevant degree and at least eight years of experience in claims, operations, and insurance systems. The successful candidate will be responsible for driving performance and streamlining processes while engaging closely with key...
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...
Position Purpose: Effective management of the claims processing department, ensuring that claims are handled accurately, efficiently, and in line with the policies and guidelines of the medical aid scheme. Managing the financial risk associated with claims, enhancing the quality of service to members, and protecting the sustainability of the medical aid scheme. Experience: 5 to 8 years’ solid...
Introduction- Momentum Health Solutions, an entity of Momentum Metropolitan Holdings delivers sustainable, integrated health solutions that meet the needs of clients in the different segments and maximise lifetime client value. We build and maintain a culture of innovation and create value through unique insights of how to achieve specific outcomes by using a defined set of Health...
Momentum Centurion, Gauteng, South Africa Claims Assessor MMH251121-9 Role Purpose The successful incumbent will be responsible for assessing, reviewing, and managing living benefit claims in accordance with relevant legislation and company policy, while adhering to Service Level Agreements and meeting client and business expectations. Requirements - Relevant degree or qualification...
Are you ready to take the next step from middle management into a senior leadership role? This opportunity is for a dynamic Claims Operations Manager with exposure to both long-term and short-term insurance. You will take ownership of the full operational and strategic claims function, driving performance, streamlining processes, and working closely with key stakeholders, including the actuarial...
Personal Lines Claims Administrator: R18K – R30k CTC (Qualification & Experience Dependent) – Based in Waterkloof Join a dynamic insurance team as a Personal Lines Claims Administrator. You’ll be responsible for end-to-end claims processing, client communication, and documentation. Strong admin and time management skills are essential. Key Responsibilities: - Administer and manage personal...
Introduction The Retail Life Insurance department is looking for a self-driven, dynamic health professional who wants to grow their career in Claims Assessment. Myriad is Momentum's market-leading life insurance product, providing lifecover to clients in South Africa. Our Myriad product aim in partnering with our clients on their journey to success. We strive to find opportunities in every risk...
Role Purpose The successful incumbent will be responsible for assessing, reviewing, and managing living benefit claims in accordance with relevant legislation and company policy, while adhering to Service Level Agreements and meeting client and business expectations. Requirements QUALIFICANTIONS - Relevant degree or qualification (Desirable). - Grade 12 or equivalent qualification...
Position Purpose: To ensure that claim lines that require manual intervention are released efficiently and timeously, as per agreed TAT by applying assessing and Scheme rules. Experience: A minimum of 2-3 years’ experience in a Managed Healthcare will be advantageous. Qualifications: Tertiary qualification in related field. KEY PERFORMANCE AREAS - Conduct accurate and effective...