Gap claims specialist

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 Claims Specialist manages the assessment of claims and has specialised knowledge of the claims environment. There is a strong focus on accurately and efficiently resolving the claims received whilst ensuring exceptional customer service and satisfaction.

Key Outcomes The accurate and efficient processing of claims captured Ad hoc duties- support in the operation of other divisions Contribute towards continuous improvement and innovation at process and procedure level To ensure that all claims processing and queries are attended to accurately and within the agreed turnaround time Cont...

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