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Claims Processor
2 weeks ago
Pretoria, Gauteng, South Africa
Atriplea Recruitment & Temps
Full time
Pretoria Permanent R36 ph Clerk:
IL Claims Processor_Temporary AssignmentLocation:
PretoriaSalary: R36 p.hOur client in the long term insurance industry in seeking a Claims Processor to process withdrawals and maturity claims.
Responsibilities:
1.
Processing of investment claims:
- Check if the claimant is a correct claimant on the policy
- Check if the policy is due to be paid on the particular month
- Verify if all premiums where received
- Processing maturity, cash provider, cash back, school fund claims within 48hrs of receipt
- Prepare for claims approval process
- Liaise with Section Leader where necessary (disputed claims)
- Liaise and follow up with relevant stakeholders on outstanding claims
- Refer dispute claims to Section Leader
- Update the clients details on the system
- Update AIMS notes 2.
Assist walk-in clients:
- Receive claims from walk-in clients (Funeral, Cash Backs, and Cash Providers, School funds, Life covers, 4sure and Legacy policies)
- Assist walk-in clients with any claims submission, queries/complaints
- Submit claims to clerk administrator to register the claims
- Liaise with branch offices if they will be receiving outstanding documents from the clients who submitted claims at Head Office 3.
Follow up on outstanding investment claims:
- Follow- up on outstanding claims documentation/investigation (All old and new claims received)
- Update AIMS notes and e-mail branches
- Do bi-weekly follow-ups on the correspondence
- Give inputs to Section Leader on the finalization of claims without the outstanding document or to defer a claim 4. Reconcile information received, processed and finalised
- Compile monthly individual statistics
- Compile reports as requested by managers
- Compiling all branch registers month end (Death & Withdrawals), making sure all branches captures claims correctly, making follow ups on a weekly basis, confirming with all branch managers.
- Compiling all Head Office Registers (Withdrawals and Maturities)
Requirements:
- Matric
- NQF 3 in Insurance
- 1 years' experience life insurance#J-18808-Ljbffr