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  • Posted: Apr 2, 2024
    Deadline: Not specified
  • Never pay for any CBT, test or assessment as part of any recruitment process. When in doubt, contact us

    Momentum Metropolitan Holdings, formerly MMI Holdings, is a South African-based financial services group was established on 1 Dec 2010, through the merger of Metropolitan and Momentum. We are specialists in long and short-term insurance, asset management, savings, investments, healthcare administration, health risk management, employee benefits and reward...
    Read more about this company


    Accident and Health Claims Technician


    • Matric
    • Computer Literacy (MS Word, Outlook, MS PowerPoint, and Excel)
    • Experience with Insurance Systems
    • A Minimum of 60 FAIS credits
    • RE exams for representatives is mandatory
    • At least 10 years of working experience
    • At least 7 years of insurance working experience
    • Intensive knowledge of Accident and Health insurance products and claim protocols
    • Sound Knowledge and experience in handling serious illness/critical illness and death claims

    Duties & Responsibilities

    • Registering, Handling, and settling of Accident and Health claims in accordance with the Guardrisk applicable policies and standard operating procedures
    • Managing and settling claims within required time frame as per SLA’s that are in place
    • Effectively negotiating with claim assessors and other related service providers
    • Always providing clients/ brokers with the highest standard of service
    • Providing clients / brokers with regular feedback on the claim progress
    • Ensuring diary system is always implemented and adhered to daily
    • Rendering of assistance with adhoc duties, when required
    • Updating reserves timeously and accurately
    • Attending to payment requests within the Guardrisk SLA
    • Managing outstanding claims volumes
    • Timely responses to email and telephonic messages
    • Accurate record keeping
    • Proper time keeping and task prioritization
    • Provide a supervisory function over a defined area within the claims department which shall include among others
    • Providing technical advice to brokers when required 


    • Negotiation skills
    • Organizational Skills
    • Effective Communicational skills
    • Attention to Detail
    • Ability to work effectively under pressure
    • Team player

    Method of Application

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