Claims Administrator Durban

3 weeks ago

Durban, South Africa Rand Mutual Assurance Full time

**THE JOB AT A GLANCE**

**WHAT WILL YOU DO?**

**Claims Administration**:

- Acknowledgement of claims upfront, distinguish between minor and serious injuries and products
- Communicate and articulate the claims process and requirements to the claimants and employers, 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
- Assist in checking the eligibility and validity of the Employer
- Perform any other ad hoc duties as assigned
- Provide backup services for team members
- Capture Temporary Total Disablement for payment.

**Query resolution**:

- Manage and resolve customer enquiries
- Identify and escalate priority issues

**Branch / Team Administration**:

- Carry out all office planning on a regular basis, as issues arise, or in advance of anticipated needs
- Continuously ensure proper housekeeping, safety and security of the Rand Mutual Properties
- 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.

**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 YOU'LL BRING TO THE TABLE?**
- 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.

**WHAT WILL YOU GET IN RETURN?**

We offer great opportunities for personal and professional development in a stable company that’s 128 years strong. The role comes with a competitive salary package and various benefits. Flexible work arrangements (combination of remote and in the office). Furthermore, you will be a part of a dedicated group of colleagues who value teamwork and collaboration.

**Turnaround time**

**Closing date**:
**Our Commitment to transformation**:

- 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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