Claims Administrator

2 weeks ago


Johannesburg, Gauteng, South Africa Salt Employee Benefits Full time

The Claims Administrator is responsible for the accurate processing of the deaths and disabilities' claims, within the agreed service level agreement between SALTEB and the Fund and meeting production standards. The duties includes requesting information and responding to enquiries.

Areas of Responsibility

  • Ensure that all quality assurance related activities as set out in the Quality Assurance checklist have been actioned.
  • Ensure completion of the quality assurance process as set in the Quality assurance checklist
  • Contact member for outstanding requirements and update notes on the system
  • Calculate the benefit
  • Apply for a tax directive
  • Prepare the payment requisition
  • Ensure the bank details have been accurately captured onto the members record and verified by the bank
  • Ensure all relevant documentation are saved onto member's record.
  • Ensure all relevant checks are done on the system before processing a claim
  • Meet production standards in terms of quantity (35 assessments and processing of claims daily)
  • Should a query raise at any point, complete the investigation and delegate to responsible party to resolve
  • Ensure compliance to all control in the teams (switches, merges etc)
  • Devote your whole time and attention and abilities during working hours to the discharge of your duties with strict accuracy
  • Ensure all email communication, whether internal or external are dealt with professionally within service level agreement
  • Process payments of death claims once approved by Trustees within the latest agreed service levels

RECORD KEEPING AND FILING

  • Ensure all documentation relating to a claim are saved in the member profile on the system
  • Ensure appropriate notes are recorded in the member profile on the system

REPORTING

  • Prepare, analyse and present ad hoc reports as and when requested

QUERY RESOLUTION

  • Attend to queries or inquiries by members, employers and beneficiaries within the required timelines – 48 hours

RELATIONSHIP MANAGEMENT

  • Build and maintain positive relationships with all clients and service providers
  • Build and maintain supportive relationships with teams internally
  • Ensure that all communication sent internally and externally is dealt with professionally

TIME MANAGEMENT

  • Meet production standards in terms of quantity and quality assessments, and payments daily.
  • Manage work inflow timeously

EDUCATION, LANGUAGE AND QUALIFICATIONS

  • Matric with Mathematics/Accounting
  • Excellent command of English
  • One vernacular language will be advantageous
  • RE1 FAIS will be advantageous

ESSENTIAL KNOWLEDGE, SKILLS AND EXPERIENCE

  • At least 2 years' experience in similar position
  • Employee Benefits/Retirement Fund industry experience is essential
  • Everest experience will be advantageous
  • Intermediate MS Excel skills
  • Problem solving skills
  • Attention to detail
  • Good communication skills (written and verbal)

  • Claims Administrator

    4 weeks ago


    Johannesburg, Gauteng, South Africa Jobking Full time

    Employer:APMCOur client in the insurance industry is now recruiting for the position of Claims Assistant. The purpose of this position will be to assist clients with their claims, handle claims administration functions and ensuring client expectations are met.Duties:Assisting clients with their claimsAssisting with claims administration functionsManaging...

  • Claims Administrator

    1 month ago


    Johannesburg, Gauteng, South Africa Jobking Full time

    Employer:APMCOur client in the insurance industry is now recruiting for the position of Claims Assistant. The purpose of this position will be to assist clients with their claims, handle claims administration functions and ensuring client expectations are met.Duties:Assisting clients with their claimsAssisting with claims administration functionsManaging...

  • Claims Administrator

    2 weeks ago


    Johannesburg, Gauteng, South Africa RAD Resources Full time

    Opportunity for a at Johannesburg North Insurance Brokerage. Play a crucial role in restoring our clients to their pre-loss status. Be the driving force behind efficient claims management, ensuring adherence to the companies service standards and swift turnaround times. Make a difference by helping clients navigate the complexities of the claims process and...

  • Claims Administrator

    2 weeks ago


    Johannesburg, Gauteng, South Africa Six Sense Full time

    Gauteng, JHB - Eastern Suburbs Annually Cost To Company (Market related)Well established underwriting business is seeking a Claims Administrator.SKILLS & QUALIFICATIONS: Must have COMMERCIAL SHORT TERM claims experience 5 years short term claims experience Matric with exemption Computer literate Must be willing to study further For more information please...

  • Claims Administrator

    2 weeks ago


    Johannesburg, Gauteng, South Africa Zensar Technologies Full time

    Good Day About Zensar TechnologiesWe are a digital solutions and technology services company that partners with global organizations across industries to achieve digital transformation. With a strong track record of innovation, investment in digital solutions, and commitment to client success, at Zensar, you can help clients achieve new thresholds of...


  • Johannesburg, Gauteng, South Africa RecruitDuo Pty Ltd Full time

    COMMERCIAL SHORT TERM CLAIMS ADMINISTRATORThe position entails managing a portfolio of brokers as well as relationships with loss adjustors and surveyors. The daily function of handling claims notifications, opening claims and managing them through to finalisation, including claims adjustments and settlements is core to this position.Non-negotiable...


  • Johannesburg, Gauteng, South Africa HRnMORE Full time

    Ensure that payment process is in line with legislation (Approved benefit / Unapproved benefit - nomination of beneficiary form or estate late payment) Ensure all claims communication is clear, acknowledgement done within 24hrs and that clients/claimants are kept up to date during the claims process Ensures that standards are maintained in accordance with...


  • Johannesburg, Gauteng, South Africa RJPersonnel Full time

    2years Ensure that payment process is in line with legislation (Approved benefit / Unapproved benefit nomination of beneficiary form or estate late payment) Ensure all claims communication is clear, acknowledgement done within 24hrs and that clients/claimants are kept up to date during the claims process Ensures that standards are maintained in accordance...


  • Johannesburg, Gauteng, South Africa PPS Recruitment Full time

    Job Advert Summary:A member of the PPS Life Insurance Operations Accounts team reporting to the Team Leader Claims Administration. This role will be responsible for all the technical administration in the Claims Administration department.This will include working across all areas in Servicing and Administration with the ability to process in all facets of...


  • Johannesburg, Gauteng, South Africa Pillango Placements Full time

    Gauteng, JHB - North**R R 17000 Monthly Cost To CompanyWe are looking for a Medical Claims Administrator for a big, amazing and an innovative company in the health tech space.The Purpose of the team that you will become part of, is to launch a service based solution which is driven by back of cutting edge healthtech, artificial intelligence and debt...


  • Johannesburg, Gauteng, South Africa Sanlam Full time

    CAREER OPPORTUNITY Santam's Claim department has a position available for an Administrative Clerk based in Hill on Empire, Johannesburg.JOB DESCRIPTION The Admin clerk is responsible for the registration of new claims. This position entails ensuring accurate registration of claims within the agreed service level agreement and general administrative duties as...

  • Claims Administrator

    2 weeks ago


    Johannesburg, Gauteng, South Africa Six Sense Consulting Full time

    SKILLS & QUALIFICATIONS: Must have COMMERCIAL SHORT TERM claims experience 5 years short term claims experience Matric with exemption Computer literate Must be willing to study further

  • Administrator: Claims

    2 weeks ago


    Johannesburg, Gauteng, South Africa Absa Bank Limited Full time

    Bring your possibility to life Define your career with us With over 100 years of rich history and strongly positioned as a local bank with regional and international expertise, a career with our family offers the opportunity to be part of this exciting growth journey, to reset our future and shape our destiny as a proudly African group.Job SummaryTo plan,...

  • Claims Administrator

    2 weeks ago


    Johannesburg, Gauteng, South Africa The Recruitment Council Full time

    Our client who is an integrated retirement, investment, life and insurance solutions company is looking for a Claims Administrator. You will be responsible for Gathering all necessary information as relating to all new and existing Life and Funeral ClaimsResponsibilities:Administration:Conduct data entry into company systems, and review and verify the...

  • Claims Administrator

    2 weeks ago


    Johannesburg, Gauteng, South Africa Michelle Taylor Recruitment Full time

    KEY RESPONSIBILITIES Process claims and payments accurately Handling of queries Monthly reporting to line management Maintain and building external business relationships Status reports Follow up with suppliers, negotiate costs Timely and accurate issuing of orders Investigate driver liability and process deductions when required Selfinspections /...

  • Claims Supervisor

    2 weeks ago


    Johannesburg, Gauteng, South Africa SNG GrantThornton Full time

    _Job Summary:_Supervise the claims management staff and all insurance and claims related administrative matters and capturing of all relevant information relating to all loss claims (insurable and uninsurable)Ensure that all short term insurance claims are dealt with in accordance with prescribed insurance policies.Ensure adherence to company policy and...

  • Claims Consultant

    2 weeks ago


    Johannesburg, Gauteng, South Africa Afrizan People Intelligence Full time

    JOB DESCRIPTIONOur client in the Benefit Fund Administration Industry is looking for enthusiastic and passionate Claims Consultants, with experience dealing with Death, Retirement and Trust Claims. The purpose of this role would be to provide specialist advise and support ensuring that claims are paid out as accurately and timeously as possible.Job...


  • Johannesburg, Gauteng, South Africa Unique Personnel Full time

    Job Number 68755Job Type PermanentJob Title Short Term Insurance Administrator and Claims ConsultantComputer Skills MS OfficeIndustry Financial ServicesCity JohannesburgProvince GautengResponsibilities:Administration/ serving and amendments of short-term personal and commercial policies Register claims and Liaise with Insurers and service providers Manage...


  • Johannesburg, Gauteng, South Africa Service Solutions Full time

    Join a Leading Truck Rental Company in Gauteng! Our client is a top truck rental company in Gauteng, providing reliable and affordable services to meet all your truck rental needs. They are on the lookout for a Claims and Fines Administrator to join their vibrant team.Experience:Must have previous experience as a claims administrator, preferably in...

  • Claims Assessor

    2 weeks ago


    Johannesburg, Gauteng, South Africa Sanlam Full time

    Who are we?Sanlam Developing Markets [SDM] (a wholly-owned subsidiary of Sanlam Life Limited) is one of the top financial services providers in the South African entry-level and emerging middle market. It aims to understand the unique requirements of clients and offers a wide range of simple and affordable financial solutions that cover needs such as funeral...