Disability Claims Administrator

2 weeks ago

Cape Town, Western Cape, South Africa Momentum Corporate Full time

Introduction

Role Purpose
Provide efficient and effective administration support to ensure the smooth running of a functional area.

Requirements:

  • Qualification minimum: Grade 12 (NQF Level 4)
  • A working knowledge of Office 36
  • Intermediate Excel
  • 1 to 2 years relevant experience
  • Understanding of the Group Insurance Industry
  • Exposure and knowledge of the Disability process
  • Understanding of basic medical terms

Duties & Responsibilities

INTERNAL PROCESS

  • Receive and manage all calls from internal and external clients.
  • Provide first time call resolution to resolve all queries timeously and effectively.
  • Dealing with clients in a competent, efficient and professional manner in accordance with the quality standards.
  • Perform an efficient and accurate administrative function.
  • Ensure accurate completion of documentation as per departmental guidelines in order to meet client needs.
  • Take ownership of escalated and unresolved queries and ensure they are resolved timeously and effectively
  • Compliance with workplace policies and procedures
  • Identify risks to the company and escalate accordingly.
Engage with appropriate training interventions to promote own professional development.

  • Actively live the MMH values
  • Maintain effective client relationships to ensure successful service delivery and support.
  • Monitor customer delivery constraints and escalate exceptions to management.
  • Maintain positive and productive relationships with key clients.
  • Scanning and Indexing.
  • Update workflow system and upload documents with personal member information.

CLIENT

  • Build and maintain relationships with clients and internal and external stakeholders.
  • Deliver on service level agreements made with clients and internal and external stakeholders in order to ensure that client expectations are managed.
  • Make recommendations to improve client service and fair treatment of clients within area of responsibility.
  • Participate and contribute to a culture which builds rewarding relationships, facilitates feedback and provides exceptional client service.

PEOPLE

  • Develop and maintain productive and collaborative working relationships with peers and stakeholders
  • Positively influence and participate in change initiatives.
  • Continuously develop own expertise in terms of professional, industry and legislation knowledge
  • Contribute to continuous innovation through the development, sharing and implementation of new ideas
  • Take ownership for driving career development

FINANCE

  • Identify opportunities to enhance cost effectiveness and increase operational efficiency
  • Manage financial and other company resources under your control with due respect
  • Provide input into the risk identification processes and communicate recommendations in the appropriate forum.

Competencies

  • Planning and Organisation Skills
  • Accountability
  • Adaptability
  • Results Orientation
  • Attention to Detail
  • People Skills
  • Customer Orientation
  • Business Administration Skills
  • Business Writing Skills
  • Communicating with Impact

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