Life Claims Administrator
6 days 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.
-
Life Claims Assessor
5 days ago
Parktown, South Africa Rand Mutual Assurance Full time**THE JOB AT A GLANCE** As a Life Claims Assessor, you will be reporting to the Claims Manager: Life, you will be responsible for adjudicating and processing claims in an effective and efficient manner within the prescribed guidelines set out by Rand Mutual Assurance. **WHAT WILL YOU DO?** **Effectively and efficiently perform the function of a Funeral...
-
Clinical Claims Adjudication
2 weeks ago
Parktown, South Africa Rand Mutual Assurance Full time**THE JOB AT A GLANCE** As a Clinical Claims Adjudication, you will be reporting to the Clinical Claims Adjudication Team Leader, you will be responsible for effective and efficient adjudication of COIDA and Non-COID (diseases and accidents) i.e. ICD10 codes, Authorisation of treatment, TTD (Temporal Total Disability), claims estimates, Management of Claims...
-
Clinical Claims Adjudication
1 week ago
Parktown, South Africa Rand Mutual Assurance Full time**THE JOB AT A GLANCE** As a Clinical Claims Adjudication, you will be reporting to the Clinical Claims Adjudication Team Leader, you will be responsible for effective and efficient adjudication of COIDA and Non-COID (diseases and accidents) i.e. ICD10 codes, Authorisation of treatment, TTD (Temporal Total Disability), claims estimates, Management of Claims...
-
Digital Claims Adjustor
3 weeks ago
Parktown, South Africa Hollard Recruitment Full time**Job Advert Summary**: An exciting new **Digital Claims Adjustor **opportunity has just become available in our **Insure, Operations (Motor Claims Area).** **Role Objectives** Comprehensive desktop investigations are conducted within a digital environment. This ensures improved customer service, retention of customers and minimizing any claims leakage...
-
Motor Claims Adjustor
6 days ago
Parktown, South Africa Hollard Recruitment Full time**Job Advert Summary**: An exciting new **Mobile Claims Adjustor **opportunity has just become available in our **Insure, Operations (Motor Claims Area).** *** **Role Objectives** Comprehensive mobile investigations are conducted ensuring improved customer service, retention of customers and minimizing any claims leakage through in-depth analysis of the...
-
Claims Quality Assurance Specialist
4 weeks ago
Parktown, South Africa Hollard Recruitment Full time**Job Advert Summary**: Helloan exciting new opportunity has just come available in our **Hollard Insure, Non Motor Claims Department (Operations)**. We are looking to recruit a **Claims Quality Assurance Specialist.** **Role Objectives**: Create operational efficiencies in utilisation of management information systems, data management and reporting....
-
Operations Manager
2 weeks ago
Parktown, South Africa Rand Mutual Assurance Full timeAs the Operations Manager you will be responsible for overseeing and managing the daily life product (funeral, GPA, group risk, etc.) functions. The incumbent will contribute to the overall performance and RMA Life’s strategic initiatives and will drive change, develop business process improvements, manage multiple stakeholders, meet regulatory, compliance...
-
External Distribution: Team Leader
3 weeks ago
Parktown, South Africa PPS Recruitment Full time**Job Advert Summary**: The role involves the management of a sales administration team that supports Broker Consultants and Life Assurance Brokers. There is a strong demand for high quality, organized and repeatable results. The responsibilities are broad in scope, encompassing a wide variety of activities requiring rapid shifts in priorities. This is...
-
Bookkeeper Operational Finance
6 days ago
Parktown, South Africa PPS Recruitment Full time**Job Advert Summary**: A member of the PPS Life Insurance Operations Finance team reporting to the Team Manager Operational Finance. This role will be responsible for processing of different claims and refunds. A higher level of technical understanding is involved for this role. Duties include checking accounting records for accuracy, recalculating of...
-
Technical Specialist
2 weeks ago
Parktown, South Africa PPS Recruitment Full time**Job Advert Summary**: The Technical Specialist role will be responsible for testing function as well as supporting the Technical Specialist with the managing of deviations of a technical nature that impact service delivery. This role works strictly on a shift work basis including nightshift work. **Minimum Requirements**: **Qualification**: - Post Matric...
-
Junior Finance Office Administrator
7 days ago
Parktown, South Africa Hollard Recruitment Full time**Job Advert Summary**: Helloan exciting new opportunity has just become available in our **Insure, Travel area. **We are looking to recruit a **Junior Office** Administrator.** **Role Objective**: The Junior Office Administrator role entails the responsibility of learning on the job, with the expectation of growth into a more senior position over time,...
-
Legal Drafter
4 days ago
Parktown, South Africa Hollard Recruitment Full time**Job Advert Summary**: **Key Responsibilities** - Draft and Review policy wordings to ensure alignment to product specification and applicable legislation, compliance, claims, underwriting, business rules and Treating Customers Fairly principles - Work according to the defined processes for the management, storage and collation of all legal documentation -...
-
Data Verifier
2 weeks ago
Parktown, South Africa Hollard Recruitment Full time**Job Advert Summary**: Helloan exciting new opportunity has just become available in our **Insure, Recoveries and Liabilities (Operations) area.** We are looking to recruit a **Administrator Data Verifier.** **Role Objectives**: To ensure that sufficient information is sourced in order to allocate claims correctly.To ensure a World Class experience in...
-
Customer Account Executive
2 weeks ago
Parktown, South Africa Rand Mutual Assurance Full time**THE JOB AT A GLANCE** As a Customer Account Executive, you will be responsible for growing the number of lives within the COID business through effective customer engagement and the position of a value proposition to the targeted employers to move to RMA. You will be required to manage and resolve client services queries and visit clients to assist with...
-
Servicing Consultant
1 week ago
Parktown, South Africa Rand Mutual Assurance Full timeCo-ordinate, plan and deliver on all required tasks within the Retirement fund Group Risk market segment which would involve the preparation and issuing of all policy documentation; management of schemes, including premium management, and client credit control; collating of all claim documentation for lump sum claims; assessment of Lump sum claims and...
-
Group Risk Assessor
3 weeks ago
Parktown, South Africa Rand Mutual Assurance Full time**THE JOB AT A GLANCE** As the Group Risk Assessor, you will be responsible and accountable for assessing, reviewing, and managing Lump Sum Disability, Critical Illness, Income Disability Claims and other claims which need a medical assessment component. You will also provide support by liaising with clients and stakeholders as well as providing solutions,...
-
Key Accounts Specialist
5 days ago
Parktown, South Africa Rand Mutual Assurance Full timeAs the Key Accounts Specialist, you will be responsible for supporting the Client Portfolio Managers and Partnership Manager by overseeing and managing activity operations within the team which is an intermediary between the company and its Key Accounts and will be responsible to assist the department in executing and supporting RMA’s key stakeholder...
-
Data/ Filing Administrator
2 weeks ago
Parktown, South Africa StaffCentral Consulting Full time**Job Duties/Responsibilities will include**: - Entering and updating information into relevant databases. - Ensuring data is backed up. - Informing relevant parties regarding errors encountered. - Scanning documents into electronic format or filing paper documents into storage systems - Entering data into computer databases and maintaining records of...
-
Osti Specialist
2 weeks ago
Parktown, South Africa Hollard Recruitment Full time**Job Advert Summary**: An exciting new **OSTI Specialist **opportunity has just become available in our **Insure, Operations (**Customer Experience Area).** *** **Role Objectives** To be part of the team that deals with complaints that have been escalated from the ombudsman office or by customers and/or brokers requesting adjudication on internal...
-
Servicing Consultant
3 weeks ago
Parktown, South Africa Rand Mutual Assurance Full timeCo-ordinate, plan and deliver on all required tasks within the Retirement fund Group Risk market segment which would involve the preparation and issuing of all policy documentation; management of schemes, including premium management, and client credit control; collating of all claim documentation for lump sum claims; assessment of Lump sum claims and...