Claims Assessor - Fast, Accurate Medical Claims

AtripleA recruitment & temps; Cape Town; On-site; ZAR 180,000 - 240,000; Full time

Job summary

A recruitment agency is seeking a Claims Assessor in Cape Town. The role focuses on checking and validating GAP claim documents, following processes, and managing client expectations. Candidates should have strong communication and negotiation skills, familiarity with medical aids, and prior experience in claims processing. This position offers the chance to utilize your attention to detail and work both independently and in a team environment. To apply, submit your CV and latest payslip.

Qualifications

• Good understanding of medical aid operations.
• Ability to maintain high accuracy in processing claims.
• Proven experience in administration and claims processing.

Responsibilities

• Check and validate all GAP claim documents.
• Follow the claims process and update system records.
• Verify claim validity according to client policy terms.
• Manage client expectations and communication.

Skills

Good written and verbal communication skills

Good negotiation skills

Understanding of how medical aids work

Intermediary MS Office skills

Good time management

Planning and organising

Works well in a team

Ability to cope with pressure

Tools

MS Office

Job description

A recruitment agency is seeking a Claims Assessor in Cape Town. The role focuses on checking and validating GAP claim documents, following processes, and managing client expectations. Candidates should have strong communication and negotiation skills, familiarity with medical aids, and prior experience in claims processing. This position offers the chance to utilize your attention to detail and work both independently and in a team environment. To apply, submit your CV and latest payslip.