Claims administrator

Location: Durban, South Africa
Salary: R7500 - R8500 per month
Recruiter: Pronel Personnel
Job Ref: DBN
Summary: Our client in the insurance industry has a vacancy for a Claims Administrator for a 3 - 6 months contract with a possibility of becoming permanent, but not guaranteed.

 

 

Job Description

  • Responsible for the administration relating to claims processing.
  • Responsible for managing queries raised by policyholders, business partners and internal stakeholders in relation to claims. 
  • Responsible for intimating claims correctly and accurately.
  • Responsible for attaching all supporting documents to the claim on CADi.
  • Responsible to effectively manage e-mails, faxes and other correspondence received to facilitate effective claims processing.
  • Responsible for managing all telephonic queries in a professional and efficient manner.
  • Responsible for contacting appropriate parties for outstanding documentation to process the claim.
  • Responsible for managing overflow inbound telephonic calls received in a professional and efficient manner.
  • Responsible for confirming the status of the policy on CADi (i.e. the policy is active and premiums up to date).
  • Responsible to check whether the policy holder has any other policies administered by the company and if so, advise the relevant department of a claim received.
  • Pro-actively provide feedback to all relevant stakeholders.
  • Pro-actively escalate all urgent issues and/or queries to the Claims Manager.
  • Responsible to update CADi accurately to facilitate the quality and completeness of system data.
  • Responsible for Ad hoc administrative tasks relating to Claims.
  • Responsible for incorporating the principles of TCF into role outcomes.
  • Matric.
  • At least 3 years’ previous, relevant work experience in administration or insurance administration is required. 
  • FAIS qualification would be an advantage.
  • Previous experience working in a Claims processing environment would be especially valuable.

 

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