378 Healthcare Claims jobs in South Africa

Responsibilities

• Receive approaches from uninsured and insured third parties, acknowledge receipt.
• Register and validate third party only claims.
• Assess and confirm merits of the claims.
• Request quantum/outstanding documents from the third party if applicable.
• Decide if claim is payable based on documentation provided.
• Appoint assessor based on claim specification.
• Provide updates to third party and insured/broker.
• Review assessment and draft offer for third party.
• Negotiate fair offer with third party.
• Send offer and facilitate settlement of signed offer.
• Close files once settled.
• Record savings on spreadsheet.
• Maintain relationship with assessors, other insurers and broker/insureds.
• (Litigation) Receive Summons and acknowledge receipt.
• Verify legitimacy of claim.
• Review summons and decide on action.
• Appoint attorney based on summon’s specification.
• Provide attorney with instruction and documents.
• Follow up with attorney.
• Guide attorney on acceptable offer and parameters of negotiating.
• Settle attorney fees based on acceptable fee scale.
• Negotiate with attorneys on fees based on settlements.
• Maintain relationship with attorneys and investigators.

• Negotiation Skills
• Conflict resolution skills
• Math Skills
• Good Communication Skills
• Interpersonal Skills

At AIG, we value in-person collaboration as a vital part of our culture, which is why we ask our team members to be primarily in the office. This approach helps us work together effectively and create a supportive, connected environment for our team and clients alike.

Enjoy benefits that take care of what matters

At AIG, our people are our greatest asset. We know how important it is to protect and invest in what’s most important to you. That is why we created our Total Rewards Program, a comprehensive benefits package that extends beyond time spent at work to offer benefits focused on your health, wellbeing and financial security—as well as your professional development—to bring peace of mind to you and your family.

Reimagining insurance to make a bigger difference to the world

American International Group, Inc. (AIG) is a global leader in commercial and personal insurance solutions; we are one of the world’s most far-reaching property casualty networks. It is an exciting time to join us — across our operations, we are thinking in new and innovative ways to deliver ever-better solutions to our customers. At AIG, you can go further to support individuals, businesses, and communities, helping them to manage risk, respond to times of uncertainty and discover new potential. We invest in our largest asset, our people, through continuous learning and development, in a culture that celebrates everyone for who they are and what they want to become.

Welcome to a culture of inclusion

We’re committed to creating a culture that truly respects and celebrates each other’s talents, backgrounds, cultures, opinions and goals. We foster a culture of inclusion and belonging through learning, cultural awareness activities and Employee Resource Groups (ERGs). With global chapters, ERGs are a cornerstone for our culture of inclusion. The talent of our people is one of AIG’s greatest assets, and we are honored that our drive for positive change has been recognized by numerous recent awards and accreditations.

AIG provides equal opportunity to all qualified individuals regardless of race, color, religion, age, gender, gender expression, national origin, veteran status, disability or any other legally protected categories.

AIG is committed to working with and providing reasonable accommodations to job applicants and employees with disabilities. If you believe you need a reasonable accommodation, please send an email to

Preference will be given to previously disadvantaged candidates in line with the company’s Employment Equity Plan. Specific preference will be given to people with disabilities.

Functional Area: CL - Claims AIG South Africa

Overview

Insurance : Claims Consultant - POS25208

Based : Roodepoort

Salary : R160,000 and R200,000 CTC + Performance based bonus

We are seeking a highly intelligent, detail-oriented, and resilient individual to join our clients Claims Services team. This role involves managing the full claims process for short-term insurance clients, ensuring accuracy, fairness, and excellent customer service throughout. The ideal candidate thrives in a competitive environment, works well under pressure, and has outstanding interpersonal skills.

• Matric with an A-grade average (especially in Mathematics)
• BA or BCom degree
• Exceptional attention to detail and analytical skills
• Strong interpersonal and communication skills
• Ability to work effectively in a competitive and fast-paced environment
• Hands-on approach with a proactive attitude
• Strong, confident personality

• Administer and open new claim files
• Manage day-to-day processing and follow-up of claims
• Appoint and authorise assessors where required
• Direct claims data entry and management on internal systems
• Ensure all controls are in place for valid claim settlements
• Manage repudiations with fairness and professional communication
• Apply policy terms and conditions accurately and consistently
• Contribute to ad hoc projects as required

Closing Date : 15 September 2025

If you meet the above criteria and are ready to take your hospitality career to the next level, please send your updated CV to

Overview

Insurance : Claims Consultant - POS25208

Based : Roodepoort

Salary : R160,000 and R200,000 CTC + Performance based bonus

We are seeking a highly intelligent, detail-oriented, and resilient individual to join our clients Claims Services team. This role involves managing the full claims process for short-term insurance clients, ensuring accuracy, fairness, and excellent customer service throughout. The ideal candidate thrives in a competitive environment, works well under pressure, and has outstanding interpersonal skills.

• Matric with an A-grade average (especially in Mathematics)
• BA or BCom degree
• Exceptional attention to detail and analytical skills
• Strong interpersonal and communication skills
• Ability to work effectively in a competitive and fast-paced environment
• Hands-on approach with a proactive attitude
• Strong, confident personality

• Administer and open new claim files
• Manage day-to-day processing and follow-up of claims
• Appoint and authorise assessors where required
• Direct claims data entry and management on internal systems
• Ensure all controls are in place for valid claim settlements
• Manage repudiations with fairness and professional communication
• Apply policy terms and conditions accurately and consistently
• Contribute to ad hoc projects as required

15 September 2025

If you meet the above criteria and are ready to take your hospitality career to the next level, please send your updated CV to .

Use reference : Insurance : Claims Consultant - POS25208 in the subject line of your email.

Should you not hear from us within 21 working days, kindly consider your application unsuccessful. We take every measure to ensure your personal information is securely stored in our database, in line with data protection regulations.

Senior Short Term Insurance Claims Handler with minimum 3 years’ Personal Lines and Commercial Claims experience in senior capacity and with the required NQF4 and RE5 Certifications, required to join this Broker Firm based in Bellville, Cape Town.

Minimum requirements:

• Matric essential
• NQF4 Short Term Insurance minimum
• RE5 essential
• Minimum 3 years’ claims handling experience in Personal Lines and Commercial Insurance in a senior role required
• Flexi, Cardinal and or CIMS 360 preferred

Duties and Responsibilities:

• Oversee negotiation and settlement of claims across Personal & Commercial lines
• Claims registration
• Claims management
• Negotiate settlements
• Communication with all stakeholders
• Complaints
• Evaluate and improve claims processes