Medical Insurance jobs in Gauteng
- KaeloRandburg, Gauteng
- Interpret and record medical surveillance findings and refer medical surveillance findings to Occupational Health Medical Practitioner.
- View all Kaelo jobs - Randburg jobs - Health Services Administrator jobs in Randburg, Gauteng
- Salary Search: Health Claims Administrator salaries
- See popular questions & answers about Kaelo
- ASI Financial ServicesJohannesburg, Gauteng
- 3 years’ experience in medical insurance / Health Care Administration.
- Year end revision and medical scheme roadshows.
- Medical aid advisory: 3 years (Required).
- Afrika TikkunSandton, Gauteng 2196
- Onboard new employees onto the group medical and/or insurance benefit.
- Assisting employees with any changes related to their medical benefit.
- AngloGold AshantiJohannesburg, Gauteng 2198
- Medical insurance, employee assistance programmes, and wellbeing initiatives.
- To provide document control and administration services to the PMO, technical…
- AngloGold AshantiJohannesburg, Gauteng 2198
- Medical insurance, employee assistance programmes, and wellbeing initiatives.
- To provide document control and administration services to the PMO, technical…
- NBC HoldingsJohannesburg, Gauteng
- Courses in insurance (CISR or CEBS).
- The Call Center Agent will be responsible for answering all inbound calls.
- Log all calls on BPM.
- SageJohannesburg, Gauteng
- Job Description As a Recruitment & Onboarding Specialist, you will be responsible for managing the full journey of prospective accountants from initial enquiry…
- Dis-Chem LifeSandton, Gauteng
- Contact clients and schedule medical appointments with 3rd party providers.
- This role ensures that insurance applications are processed efficiently, risk is…
- Momentum HealthSandton, Gauteng
- Excellent understanding and proficiency in the medical aid industry.
- Experience in the insurance / related industry (essential).
- Swiss ReJohannesburg, Gauteng
- Deep financial and medical underwriting expertise, with the ability to evaluate sophisticated and high-value cases.
- Bluespec HoldingsMidrand, Gauteng
- Substantial experience (typically 8–10 years or more) in a legal and compliance role within the short-term insurance industry, with a meaningful portion at…
View similar jobs with this employerFirstRandJohannesburg, Gauteng- 5+ Years relevant medical training or previous medical underwriting at an advanced level.
- Proven experience as an underwriter in life insurance industry.
- View all FirstRand jobs - Johannesburg jobs
- Salary Search: Underwriter salaries in Johannesburg, Gauteng
- See popular questions & answers about FirstRand
- GCI WealthPretoria, GautengOften responds in 6 days
- Issue medical underwriting requirements to employers and assist members where necessary.
- This role is suited to someone with solid experience in pension fund…
- Compendium Insurance BrokersGauteng
- In-depth knowledge of South African medical schemes and insurance products.
- Provide expert advice on medical aid, gap cover, and health insurance products.
- View all Compendium Insurance Brokers jobs - Gauteng jobs - Broker jobs in Gauteng
- Salary Search: Healthcare Brokers salaries in Gauteng
- StrykerJohannesburg, Gauteng 2160
- We are proud to offer you our total rewards package which includes bonuses, healthcare, insurance benefits, retirement programs, wellness programs, as well as…
- View all Stryker jobs - Johannesburg jobs
- Salary Search: Finance Intern salaries in Johannesburg, Gauteng 2160
- See popular questions & answers about Stryker
- Medecins Sans Frontieres South AfricaJohannesburg, Gauteng 2001
- Professional liability coverage, medical insurance and repatriation cover.
- Provide emergency resuscitation and required urgent medical stabilisation of critical…
Job Post Details
Job details
Job type
- Full-time
Location
Full job description
About Kaelo
Kaelo provides essential healthcare solutions ensuring the physical and psychosocial wellbeing of all South Africans towards lasting social change. Kaelo meets the Healthcare needs of Corporate and Retail clients across South Africa – products offerings include Medical Insurance, Medical Aid, Gap Insurance, Kaelo Money and employee assistance programmes.
Job Description
The Kaelo Health Claims Administrator is responsible for the management of all gap cover related tickets and correspondence. The responsible person captures all gap cover claims and corresponds with the membership base. This individual has knowledge of the gap claims environment. There is a strong focus on accurately and efficiently resolving the claim ticket received whilst ensuring effective communication and exceptional customer service and satisfaction
KEY OUTCOMES
(not limited to) Level 4 and 5 process elements
The accurate and efficient capturing of claims received
Assist Kaelo clients with queries and provide suitable query resolution
Accurate completion of administrative targets on a daily basis
Dealing with multiple queries from Kaelo members and intermediaries
Ongoing feedback to clients
Management of all claim related mailboxes
Ad hoc functions as required by management
Qualifications
Insurance industry experience
2-5 Years experience in claims handling
5 Years experience in claims handling
PREFERRED
Health Insurance industry
EDUCATION: QUALIFICATIONS: ACCREDITATIONS WITH PROFESSIONAL BODY
REQUIRED
FAIS
REQUIRED
Grade 12 – Matric
PREFERRED
RE5 certificate
TECHNICAL SKILLS OR KNOWLEDGE
REQUIRED
Computer literate, including Microsoft Access and Intermediate Excel Skills.
PREFERRED
Experience on MIP system
Additional Information
PERSONAL ATTRIBUTES: COMPETENCIES
- Sound knowledge and experience in the provision of Occupational Health and Primary Healthcare, IOD and medical emergencies
- Conducting medical surveillance examinations
Interpret and record medical surveillance findings and refer medical surveillance findings to Occupational Health Medical Practitioner - Document management
- Health Risk assessment knowledge
- Ensure legal compliance of on-site clinic
- Qualifications: Professional Nurse and a Qualification in Occupational Health will be an advantage
- Up to date and relevant registration with SANC, SASOHN and DoH
- Certificate in dispensing, audiometry and spirometry
- Computer literacy (Ms Office, Word, Excel, Outlook and PowerPoint).
- Customer orientation, focus on excellence and teamwork
- Ethical behaviour
- Excellent communication skills