Technical Claims Administrator

6 months ago

Johannesburg, South Africa PPS Recruitment Full time

**Job Advert Summary**:
A member of the PPS Life Insurance Operations Accounts team reporting to the Team Leader Claims Administration. This role will be responsible for all the technical administration in the Claims Administration department.

This will include working across all areas in Servicing and Administration with the ability to process in all facets of the department and resolve queries from start to end. They will be required to make decisions within their mandate and execute a higher quality of service combined with increased quantity as per the performance contract.

**Minimum Requirements**:
**Education**:

- A tertiary qualification (NQF6 or above) with relevant business orientation advantages

**Experience**:

- 2+ years of experience in an administration environment.
- Experience in the policy administration environment would be beneficial.
- Call Centre experience would be beneficial to assist with telephonic enquiries

**Knowledge and Skills**:

- A good business acumen.
- Knowledge of Financial institutions (advantageous).
- Computer Literate (MS Office Package).
- Have excellent administration skills.
- Display attention to detail and analytical skills.
- Have strong organisational skills.

**Competencies**:

- Ability to communicate clearly and effectively both verbally and in writing.
- Demonstrate good telephone etiquette.
- Have good problem-solving abilities.
- Be solution driven and take accountability and responsibility of own work.
- Deadline and target driven particularly in a production environment.
- Be adaptable.
- Have an ability to work within a teamwork environment.
- Have stress tolerance and resilience.

**Duties and Responsibilities**:
**Key Responsibilities**:

- Quality assurance of claims documents received, as per the work instruction.
- Ensuring valid banking details linked to payment scheduler.
- Verifying of member’s contact details and personal information.
- Sending out of communication of claims correspondence, inclusive of attachments.
- Correctly administer claim documents and claim correspondence as per the published work instruction.
- Maintaining Team service level agreement by ensuring daily targets achieved

**Assist Management and Support Team**:

- Agree duties with team members in order to achieve operational targets including prioritization and work schedules.
- To execute policies and procedures related to service delivery in Operations and between other areas.
- Build and maintain relationships with relevant stakeholders

**Maintain Product Expertise**:

- In order to answer customer complaints and questions, a Technical Administrator must be an expert in the products offered by PPS. This requires one to take the initiative to master every feature and benefit of each product. Identify process and procedure improvements and make recommendations to streamline and simplify processes.

  • Claims Administrator

    7 months ago

    Johannesburg, South Africa LetsLink Recruitment Full time

    LetsLink recruitment is currently seeking a highly motivated and experienced Claims Administrator to work in Johannesburg. - Qualifications: - Matric (Grade 12) or equivalent. - FAIS (Financial Advisory and Intermediary Services) compliant. - RE 5 (Representative Exam) certification. - Customer Service Certificate (advantageous). - Clinical qualification as...

  • Pl Claims Administrator

    5 days ago

    Johannesburg, South Africa PPS Recruitment Full time

    **Job Advert Summary**: A PPS Life Insurance Operations Accounts team member reports to the Team Leader Claims Administration. This role will be responsible for all the technical administration in the Claims Administration department. This will include working across all areas in Servicing and Administration with the ability to process in all facets of the...

  • Claims Administrator

    3 days ago

    Johannesburg, South Africa B-Sure Full time

    Job Overview **Date Posted**: Posted 5 hours ago **Location**: Johannesburg, Gauteng **Job Title**: Claims Administrator **Salary**: R5,500 **Salary Type**: Negotiable **Education Level**: High School / Matric **Job Level**: Junior **Required Experience**: 1 - 3 Years Claims Administrator - Johannesburg A Claims Administrator job vacancy is...

  • Claims Administrator

    5 months ago

    Johannesburg, South Africa Cora O’Neil Recruitment Agency Full time

    **Job Overview**: **Date Posted**: Posted 3 days ago- **Location**: Johannesburg, Gauteng- **Job Title**: Claims Administrator- **Salary**: R25,000 - R30,000- **Education Level**: Certificate- **Job Level**: Intermediate- **Minimum Experience**: 3 - 5 Years**Claims Administrator (Liability Insurance) - Rosebank, Johannesburg.**: Manage claims as allocated,...

  • Claims Administrator

    7 months ago

    Johannesburg, South Africa National Risk Managers (Pty) Ltd Full time

    Join Our Exclusive Talent Pool! We believe in nurturing talent and providing a platform for growth. As we expand our horizons, we are building a talent pool of passionate Claims Administrators who share our commitment to excellence. **Job Summary** Administer payments of Health claims **Key Responsible Areas** - Process hospital admission and related...

  • Claims Administrator

    9 months ago

    Johannesburg, South Africa RAD Resources Full time

    Opportunity for a at Johannesburg North Insurance Brokerage. Play a crucial role in restoring our clients to their pre-loss status. Be the driving force behind efficient claims management, ensuring adherence to the companies service standards and swift turnaround times. Make a difference by helping clients navigate the complexities of the claims process and...

  • Claims Administrator

    3 days ago

    Johannesburg, South Africa Rad Resources Full time

    Claims Administration (motor and non-motor) of the allocated portfolio.Motor claims General Administrative TasksTake all the relevant details when the client phones Check premium payment and cover immediately. If premium not paid or there is no cover, clarify with the A.E. or Member immediately before advising the client. Register claim on CIMS System upon...

  • Health Claims Administrator

    3 months ago

    Johannesburg, South Africa Kaelo Full time

    **Company Description** About Kaelo** Kaelo provides essential healthcare solutions ensuring the physical and psychosocial wellbeing of all South Africans towards lasting social change. Kaelo meets the Healthcare needs of Corporate and Retail clients across South Africa - products offerings include Medical Insurance, Medical Aid, Gap Insurance, Kaelo Money...

  • Health Claims Administrator

    7 months ago

    Johannesburg, South Africa Kaelo Full time

    Company Description **About Kaelo** Kaelo provides essential healthcare solutions ensuring the physical and psychosocial wellbeing of all South Africans towards lasting social change. Kaelo meets the Healthcare needs of Corporate and Retail clients across South Africa - products offerings include Medical Insurance, Medical Aid, Gap Insurance, Kaelo Money and...

  • Claims Administrator

    3 months ago

    Johannesburg, South Africa Zensar Technologies Full time

    Claims Administrator Johannesburg About Job: We are hiring a Claims Administrator to join our team. If you’re excited to be part of a winning team, Zensar is a great place to grow your career. You’ll be glad you make the right choice to join us. Advantage of Zensar Technologies We are a technology consulting and services company with 11, 800+...

  • Claims Administrator

    5 months ago

    Johannesburg, South Africa FirstRand Full time

    Job Description Provide efficient and effective administration support to ensure the smooth running of a functional area Hello Future Claims Administrator Welcome to FNB, the home of the #changeables. We design for the shapeshifters and deliver products and services that make us incredibly proud of people that make it happen. As part of our team in...

  • Insurance Claims Administrator

    1 week ago

    Johannesburg, South Africa The Recruitment Agency South Africa Full time

    Overview Position**:Jnr or Senior Short Term Insurance Claims Consultant** **Salary**: - R10 000 to R20 000.00 (Salary negotiable on experience & qualifications). Incentive for Activities\ Location: Johannesburg - The salary is negotiable and dependent on experience but you can work around the salary above as a guideline. - Offices are based in Lanseria -...

  • Claims Administrator

    4 months ago

    Johannesburg, South Africa FirstRand Full time

    Job Description To manage the claim from notification to completion as well as support the claims assessor in their core function and other internal and external customers Hello Future Administrator Welcome to FNB, the home of the #changeables. We design for the shapeshifters and deliver products and services that make us incredibly proud of people that...

  • Claims Administrator

    7 months ago

    Johannesburg, South Africa Auto Wheels Autobody Full time

    **Job description**: Future Motor Lease is a fast paced car rental company specializing in the Rent to Buy Market. We are looking for a hard working individual who will be in charge of the following. **Duties and responsibilities**: - Entering and updating information into relevant databases. - General Admin - Capturing Data for vehicles on Fleet. - Claims...

  • Claims Administrator

    4 months ago

    Johannesburg, South Africa FirstRand Full time

    Job Description Hello Future Claims Administrator Welcome to FNB, the home of the #changeables. We design for the shapeshifters and deliver products and services that make us incredibly proud of people that make it happen. As part of our team in FR Life Assurance you will be surrounded by unique talents, diverse minds, and an adaptable environment that...

  • Claims Administrator

    7 months ago

    Johannesburg, South Africa Sanlam Full time

    **Who are we?** Safrican is a respected life insurer with a footprint in SA and a subsidiary in Eswatini. Safrican has over 2 million principle lives covered and more than 7 million lives assured, the company has grown from strength to strength since 2004. **What will you do?** - Under general supervision and within company guidelines will research,...

  • Claims and Policy Administrator

    22 hours ago

    Johannesburg, South Africa HRnMORE Full time

    Ensure that payment process is in line with legislation (Approved benefit / Unapproved benefit - nomination of beneficiary form or estate late payment) - Ensure all claims communication is clear, acknowledgement done within 24hrs and that clients/claimants are kept up to date during the claims process - Ensures that standards are maintained in accordance...

  • Technical Warranty and Claims Manager

    22 hours ago

    Johannesburg, South Africa Fempower Personnel Full time

    Job Title : Technical Warranty and Claims Manager Area: East Rand Our national client, who Is in the automotive spare parts industry seeks to employ a dynamic claims and warranty manager. Ideally from an automotive spare parts environment or electrical or technical or auto electrical industry. Must Have: South African Matric Trade Tested qualification...

  • Claims Administration Clerk

    7 months ago

    Johannesburg, South Africa Sanlam Full time

    **CAREER OPPORTUNITY** - Santam’s Claim department has a position available for an Administrative Clerk based in Hill on Empire, Johannesburg.**JOB DESCRIPTION** - The Admin clerk is responsible for the registration of new claims. This position entails ensuring accurate registration of claims within the agreed service level agreement and general...

  • Medical Claims Administrator

    7 months ago

    Johannesburg, South Africa Pillango Placements Full time

    **Gauteng**, JHB - North** **R 16000 - R 17000 Monthly Cost To Company** We are looking for a **Medical Claims Administrator** for a big, amazing and an innovative company in the health tech space. The Purpose of the team that you will become part of, is to launch a service based solution which is driven by back of cutting edge healthtech, artificial...