Life Claims Administrator
3 months ago
**THE JOB AT A GLANCE**
**WHAT WILL YOU DO?**
**Claims Administration**:
- Acknowledgement of claims upfront
- Communicate and articulate the claims process and requirements to the claimants and brokers, as pre-defined processes
- Refer/channel claims to relevant departments
- Gather information, send follow-ups and reminders on outstanding claims documents
- Prepare, scan, and index internal and external documents i.e. medical reports, invoices, investigation reports, images, received from clients according to company procedures and Service Level Agreement
- Organise scanned documents on the local network
- Identify and edit/correct the legibility of scanned documents
- Analyse documents received to produce the appropriate shades and best resolution in scanned reproductions
- Ensure that there are no duplicate documents uploaded on the system on an ongoing basis
- Perform any other ad hoc duties as assigned
- Provide backup services for team members
- Perform claims registration and the relevant verifications
**Query resolution**:
- Manage and resolve customer enquiries
- Identify and escalate priority issues
**Team Administration**:
- Compiling records of office activities i.e. keep an electronic and manual register of walk in clients
- Order and maintain relevant office supplies
- Arrange team meetings and distribute minutes.
- Manage the central mailbox
- Allocate work and channel work and queries accordingly
**Customer Service**:
- Regularly communicate and liaise verbally and in writing with customers/suppliers/visitors/enquirers and relevant staff, and interpret and respond clearly and effectively to spoken requests over the phone or in person, and to verbal or written instructions
- Manage walk-in queries as and when required in line with the RMA Service Catalogue
- Research required information using available resources
- Provide customers with accurate product and service information in an efficient manner
- Update existing customer personal information
- Deal with all customers in a professional and empathetic manner
- Assist stakeholders with using the correct processes for logging their queries.
**Reporting on progress**:
- Using appropriate templates and channels to report progress as and when required.
**WHAT WILL YOU GET IN RETURN?**
We offer great opportunities for personal and professional development in a stable company that is 130 years strong. The role comes with a competitive salary package and various benefits. Furthermore, you will be part of a dedicated group of colleagues who value teamwork and collaboration.
**Turnaround time**
**Closing date: 13th October 2024**
**Our Commitment to transformation**:
**WHAT YOU'LL BRING TO THE TABLE?**
- Grade 12 qualification/Matric Certificate
- NQF Level 5 Higher Certificates and Advanced National (vocational) Certificate in business administration or commerce
- 2-3 years clerical, scanning and indexing experience required
- Data-entry experience and good typing skills
- Additional insurance related qualifications or training will be advantageous
- Knowledge of administrative and clerical procedures
- Computer literate - Intermediate MS Office Suite
- Knowledge of customer service principles and practice
- Good Administrative skills
- Deadline driven
- Additional insurance related qualifications or training will be advantageous
- Insurance and/or Medical Aid experience
- Knowledge of Claims processing, approval.
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