Claims Validator/Assessor (JHB Hybrid)

ENVIRONMENT:

A provider of tailored Financial Solutions seeks a highly meticulous Claims Validator/Assessor to ensure a seamless process for clients. You will be responsible for the preparation, validation, and finalisation of all registered claims - ensuring efficient and effective settlement of registered claims within the terms of the relevant Policy wording, agreed quality standards and business rules. You will also actively manage the validation of claims which need to be paid, repudiated, or forwarded to the awaiting info queue. Applicants must have Matric/Grade 12 with 3-5 years Claims Assessment / Validator experience and must be able to communicate in English, Afrikaans and Zulu/Setswana.

DUTIES:

• Handle claim queries received from Claims Assessors, Supervisor, or Manager.


• Assist clients with claims queries or concerns.


• Liaise with the Claims Assessor and advise them of any issues that arise.

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