Claims Administrator

2 weeks ago


Pretoria, Gauteng, South Africa Status Asset Management Full time

Position: Claims Administrator

Location: Pretoria

Do you have an unwavering attention to detail and the ability to ensure insurance claims are captured correctly within SLA? Do you have a passion for building relationships with insurers and providers to ascertain that the claim process is smooth, and payment is made promptly? Raise your hand because WE'RE HIRING

It's our mission to unleash the potential in our team, and we know that teams perform best when they are diverse and each individual feel that they belong. That's why we want you to join us in the capacity of a Claims Administrator. This role plays an integral part within our team, as you will ensure Claims are being processed accurately, so that Clients are retained, and amazing service is provided.

So, who are we and why would you want to join us?

We are a young, energetic, and passionate group of companies working in different industries, all focused on becoming market leaders in our fields. Our fast-paced environment will positively challenge you and keep you engaged as you navigate through changing priorities and varying demands. We work smart, we work hard, but we have fun doing it

Companies in our group include:

  • LNDR – a lending solutions provider
  • Cryosave – A bank for newborn stem cells
  • APS – an outsourced call centre management company

What can we offer you? Some of our benefits include:

  • Modern fit-for-purpose people practices.
  • Working in a state-of-the-art tech building that includes access to on-site gym to help you grow your fitness as much as you do your brain.
  • Two on-site restaurants that will have you inhaling aromas of mouth-watering lunchtime dishes, and freshly brewed coffee. At Fintech campus that's just a part of the rhythm of the day.

Great, so who is a good fit?

An energetic and dedicated individual with an unwavering attention to detail. The chosen candidate needs to have strong administrative and communication skills, as well as good knowledge of the Financial Service Industry inclusive of FICA and FAIS regulations.

So what will such a fantastic individual's duties and responsibilities include?

  • Ensuring that client claims are captured correctly within SLA, so that there are no delays, and we keep our clients happy;
  • Following up on all outstanding claim documents, this will smoothen the process and ensure we have less comebacks;
  • Answering calls, and logging claims accordingly and accurately, doing it right the first time, makes sure less time is spent on corrections;
  • Providing accurate notes on all claims, setting up reminders and liaising with clients to keep the clients updated via telephone or email, good client service is always the backbone of our offering;
  • Day-to-day administration and all other adhoc duties as and when required;
  • Follow up on all outstanding claims documents in order to facilitate payments. The quicker we pay, the better the chance that the Client stays.

Are there any specific skills and attributes required?

  • Attention to detail and a high level of accuracy;
  • Ability to work under pressure;
  • Self-starter & excellent organising skills;
  • Good verbal, written and communication skills;
  • Committed and reliable with integrity and honesty;
  • Loyalty toward the organisation ;
  • Tenacity, Attendance & Punctuality;
  • Needs to have resilience and must be optimistic;
  • Be able to work accurately and effectively in a highly pressurised environment;
  • Accountability and a team player;
  • Good time management skills;
  • Problem solving skills, by effectively identifying problems as soon as they arise;
  • Ability to be able to think out of the box;

Take a look at the what the requirements for this amazing job are and if you meet them apply, apply, apply:

  • 2+ years of experience within the Financial Services Industry is a must (long-term insurance preferred);
  • 2 years' experience as a Claims Administrator is a must;
  • Grade 12 certificate (Matric);
  • RE5 certificate advantageous;
  • Good knowledge of the Insurance Industry;
  • Computer literate (MS Office – Excel, Word, and Outlook).


  • Pretoria, Gauteng, South Africa Finding Personnel (Pty) Ltd Full time

    JOB TITLE:Junior Claims AdministratorAREA:Waterkloof, PretoriaINDUSTRY:Insurance Salary /CTC:R Report to:Claims Manager Job Summary: The Junior Claims Administrator is responsible for processing and managing claims, ensuring accuracy and compliance with company policies. This role involves understanding assessor and service provider reports, drafting...


  • Pretoria, Gauteng, South Africa Finding Personnel (Pty) Ltd Full time

    JOB TITLE: Junior Claims AdministratorAREA: Waterkloof, PretoriaINDUSTRY: InsuranceSalary / CTC: R 10 000Report to: Claims ManagerJob Summary:The Junior Claims Administrator is responsible for processing and managing claims, ensuring accuracy and compliance with company policies. This role involves understanding assessor and service provider reports,...


  • Pretoria, Gauteng, South Africa PRR Recruitment Services Full time

    Looking for an Insurance Claims Administrator To open all claims in a prompt efficient manner To administer claims accurately and timeously. Loading of payments of claims To enter accurate data onto claims the system To maintain and administer the claims records Appointing of various suppliers Own transport is a must and drivers- stable track record


  • Pretoria, Gauteng, South Africa SydSen Recruit Full time

    Gauteng, Pretoria EastClaims and Broker Administrator - Tshwane - Pretoria EastOur Insurance Broker client is looking for an Claims and Broker Administrator to join their company, based in Pretoria East.Overview:Responsibilities and knowledge: To open all claims in a prompt efficient manner To administer claims accurately and timeously Loading of payments of...


  • Pretoria, Gauteng, South Africa StaffCentral Consulting Full time

    Job Duties/Responsibilities will include:Dealing with customer queries telephonically.Calculating various claims and paying out of claims.Utilising the functions of the Natural and Alex systems to carry out the day-to-day activities.Administration of Retirement claims for MIPF/EIPF.Corresponding with external customersGrade 12 with an aptitude for...


  • Pretoria, Gauteng, South Africa Careforce Recruitment Full time

    Our client, a proudly South Africa-owned Audiology hearing healthcare company with a national footprint has a position open for a Medical Aids Claims Administrator in Pretoria East.Role DescriptionThis is a full-time, office-based position. The individual will be responsible for administrating claims and authorisations from Medical Aids.Qualifications and...


  • Pretoria, Gauteng, South Africa Atriplea Recruitment & Temps Full time

    Pretoria Permanent R Senior Manager: IL Claims Administration_Long Term InsuranceSector: InsuranceLocation: PretoriaSalary: R negotiable)Our client in the insurance sector is looking for a Claims Administrator to monitor the management of individual life claims administrationDuties: Monitor management of claims administration on individual life policies ...


  • Pretoria, Gauteng, South Africa CreditSmart Full time

    Each claim must be assessed individually and must be judged on its own unique merits considering the specific information provided by the client in relation to the claim and to the extent of cover granted under the policy.Responsibilities and knowledge: To open all claims in a prompt efficient manner To administer claims accurately and timeously Loading of...

  • 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...

  • Claim Consultant

    2 weeks ago


    Pretoria, Gauteng, South Africa JSM Business Services Full time

    Claim Consultant / AdministratorROLE AND RESPONSIBILITIES Management of calls in a professional and efficient manner Follow up calls where and when needed Building professional relationships Handling all information on basis of trust Dealing with clients and processes in line with company procedures Optimal use of the "Call Centre" computer system Follow the...

  • Claims Assessor

    2 weeks ago


    Pretoria, Gauteng, South Africa Medpharm Recruitment Full time

    The purpose of this position is to ensure that all claims are assessed using the appropriate rules and is paid correctly in line with the Scheme's benefit and tariff structures.Duties: Assessing and processing Medical Aid claims- Quality:Measuring of individual error rate to ensure no costs incurred due to assessing errors made.- Production:Process the...

  • Claims Assessor

    2 weeks ago


    Pretoria, Gauteng, South Africa Qetello Holdings Full time

    About Our Client: Our client is a leading medical scheme based in Pretoria, dedicated to providing comprehensive healthcare benefits to its members. They are committed to innovation, quality service, and the well-being of their clients. In line with their growth and commitment to excellence, they are seeking a dedicated and experienced Claims Assessor to...

  • Claims Technician

    2 weeks ago


    Pretoria, Gauteng, South Africa King Price Insurance Full time

    Our client, a short-term insurance broker, based in Pretoria East, is looking for 2 young and ambitious claims technicians to join their growing teamYou will have the following responsibilities:Registration of claims business and personal lines Capturing of claims on our internal claims register & systems Procedural claims processing as per workflow...


  • Pretoria, Gauteng, South Africa SJ Personnel Full time

    Company based in Mooikloof (Pretoria East) is excited to offer an employment opportunity to an experienced Medical Billing Administrator.Minimum requirements to apply: Driver's license (ESSENTIAL). Matric/Grade 12 qualification (ESSENTIAL). 2 years' relevant experience (ESSENTIAL). Computer skills Microsoft Office (ESSENTIAL). Knowledge of medical aid...


  • Pretoria, Gauteng, South Africa StaffCentral Consulting Full time

    Job Duties/Responsibilities will include:Supervising and supporting Junior Admin ClerksTo do accurate costing of job cards and submissions of claimsMonitoring all claims as to prevent rejectionsResubmission and recovering of all rejected claims to minimize loss to the companyChecking of job cards before costing to minimize audit riskWeekly payment reconsTo...


  • Pretoria, Gauteng, South Africa Danté Personnel Recruitment Full time

    SA - Gauteng, RandburgR R15 000 based on experience Our Client based in Randburg is looking for a Junior Claims Consultant (Commercial & Personal lines)Minimum requirements: Minimum 1-2 years experienceCompleted RE5Excellent communication skillsResponsible for all Claim Administration Consultant: Mellissa Rambally - Dante Personnel Johannesburg


  • Pretoria, Gauteng, South Africa PSG Konsult Full time

    Job description:The Claims Consultant will be responsible to provide administrative assistance and support in line with commercial lines insurance.Responsibilities: Client face to face meetings Liaising and providing feedback to clients of claim progress. Handling client queries Claims Management: the daily claims process from capturing received claims to...

  • Claims Hub Manager

    2 weeks ago


    Pretoria, Gauteng, South Africa LifeWise Full time

    Job Title: Manager: Claims HubReport Line: Head: Claims ServicesDepartment: Tshwane Claims HubLocation: NationalJob Category: Hybrid (Semi-Remote)Job Type: PermanentReference: LW055/2024Our Commitment to Our ChampionsOur Champions work for a common purpose; to empower affordable and timeous access to justice through which individuals can enforce and defend...


  • Pretoria, Gauteng, South Africa King Price Insurance Full time

    Purpose of position:Processing all commercial claims according to the company's claims philosophy, whilst ensuring continuous improvement of customer service and technical delivery.Responsibilities: Complete understanding of the claims handling process and processing claims accordingly Identifying risks and acting on it Capturing and processing claims...


  • Pretoria, Gauteng, South Africa Discovery Limited Full time

    Select how often (in days) to receive an alert: Claims Assessor Specialist - Discovery Life Business Unit: Discovery Life Function: Claims Administration Discovery – Discovery Life Claims Assessor Specialist About Discovery Discovery's core purpose is to make people healthier and to enhance and protect their lives. We seek out and invest in exceptional...