Gap Cover Assessor JB5016

Gap Cover Assessor JB5016  
Cape Town Western Cape  
R20 000 - R28 000 CTC per month  
Permanent  

Our client a prominent provider of innovative and flexible solutions centered around health wellness and financial security is seeking a gap cover assessor to join their team  

This position involves validating claim documentation managing communication with clients brokers and medical professionals and adhering to service turnaround times As a Claims Assessor you will contribute to the success of the department by meeting daily claim targets resolving escalated claims and maintaining up-to-date workflow queues If you are self-motivated thrive under pressure and have a can-do attitude this is an excellent opportunity to be part of a dynamic and supportive team  

Minimum Requirements  
Matric  
2 years experience in similar role  
Good negotiation skills and effective in dealing with customers and meeting their expectations  
Good understanding of how medical aids work and operate  
Ability to apply administration principles and work with detail and a high level of accuracy  
Proficiency in Microsoft Office  

Duties and Responsibilities  
Validate and review all GAP claim documents received ensuring any outstanding documents are promptly requested  
Accurately capture claim information into the system adhering to established processes  
Verify and update client personal information on the policy record as required  
Assess the validity of claims in line with the terms and conditions outlined in the clients policy document and record relevant notes on the system  
Address and manage client claim expectations effectively by applying Treating Customers Fairly TCF principles and maintaining clear communication with clients or brokers  
Achieve daily claim targets with precision and within the designated turnaround time  
Maintain and update daily workflow tasks and queues for efficient management and reporting  
Process high-priority and escalated claims identified by management within a two-hour timeframe  
Collaborate with medical aids hospitals and medical practitioners to obtain necessary medical history and account details for claim assessments  
Perform general administrative duties as required  

Please do not apply using Scanned CVs no supporting documentation is required at this point this will be requested later  

IMPORTANT We specialize in specific niche fields Regret that we are unable to provide assistance for any fields outside of this scope Fields can be viewed on our website  

Kontak Recruitment Disclaimer  
Equal opportunity All backgrounds are welcomed with no bias All are considered based on requirements  
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Fair process Fair assessment only shortlisted candidates contacted due to volume  
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No direct link Advert is not tied to Kontak Recruitment We assist in the employment process ONLY  
Applicant Responsibility Upon applying confirmation of receipt for a specific advert is given If no confirmation is received you must verify with Kontak Recruitment  

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