Claims Administration Handler

4 months ago


Durban, South Africa Huntswood Full time

**Job Overview**

You will be responsible in undertaking general administration and claims handling duties for the Personal Injury Claims department within a timely manner and in line with company procedures.

**Responsibilities**:

- Import new claims the system portals, and/or manually upload
- Conduct AskCue PI and Cache checks on all appropriate claims
- Allocation of new claim files to claims handlers in accordance with guidelines.
- Allocating Vulnerable Road User (VRU) claims to nominated claims handlers.
- Filter MI received from claims insight team suitable for use in Rolling Reviews and distribute accordingly.
- Make payments to TPIs who are party to the subrogation agreement via the verify portal.
- Make payments on any bordereaux/ bulk payment arrangements to suppliers.
- Conduct initial enquires on TPI Direct Claimants (including phone call /initial letter)
- Identify and communicate urgent tasks to team leaders and PI handlers.
- Request and subsequently manage CRU certificates and notify DWP upon settlement/closure.
- Manage through to settlement - Tariff only whiplash claims with or without associated losses; to include running medical assessment through COA or valuing against defined matrix.
- Provide ad hoc support to PI claims handlers and team leaders.
- To adhere to and consider all regulatory requirements at all times, including consumer duty DPA and AML
- To be compliant with health and safety policies at all times.
- To ensure compliance with company and other relevant standards/regulations at all times.

**Job Requirements**
- Minimum of Grade 12/Matric qualification of equivalent NQF level 4 qualifcation
- Experience of working in an administrative role
- Previous experience in the motor insurance industry
- Experience of working in a insurance claim’s environment preferred

**Required Skills**:

- Excellent time management and organization skills with the ability to prioritize own work
- Good level of communication skills, both verbal and written
- Good Microsoft Office Skills (outlook, Word, Excel)

**Core Behaviour**
Huntswood’s employees are described as dependable, driven and collaborative.
The job holder should be able to demonstrate they are:

- Confidential, reliable and genuine
- Dynamic, passionate and determined
- Friendly, compassionate and cooperative

"It's not just about what we do, but the way we do it. And it's our values that make us special."



  • Durban North, South Africa HVM Full time

    **Job purpose/mandate** A well-established, Durban North-based entity seeks Administrator. **Specific duties and responsibilities** *Short-Term Insurance Underwriting Administration and Claims Administration. *Must have comprehensive knowledge of Personal Lines and Commercial Lines products. - Administration Role includes: - Broker Assistant - Servicing...

  • Claims Handler

    5 months ago


    Durban, South Africa Huntswood Full time

    **Requirements**: - National Senior Certificate (Grade 12) - Preferred Currently studying towards a tertiary qualification - Clear Credit and Criminal record - Computer literate - 1- 2 years’ experience in Inbound Insurance Claims (Local or International) - Proven experience in the insurance space - Proven track record of high performance - Excellent...

  • Senior Claims Handler

    5 months ago


    Durban, South Africa DELLA MARTINA RECRUITING Full time

    Leading National Financial Institution has a vacancy for a SENIOR CLAIMS CONSULTANT for their SHORT TERM INSURANCE DIVISION in the heart of Durban. **Description of Role**: To provide clients with an efficient and effective claims service and support in respect of their claims. **Key Responsibilities**: - The registration and maintenance of all motor and...

  • Claims Administrator

    4 weeks ago


    Durban, South Africa Spilltech Full time

    Job Purpose A niche underwriter, specializing in environmental impairment for transport and site-based risks seeks a Claims Administrator to focus on the administrative aspect in the claims department. Claims administration is fast-paced and a vital aspect of our business operation. Responsible For - Ensure adherence to organizational policies, practices,...

  • Claims Administrator

    5 months ago


    Durban, South Africa Sandi Crowther Recruitment Full time

    KwaZulu Natal, Durban - R 12 500 - R 13 000 **Musgrave, Durban. **Opportunity exists for competent Claims Administrator with at least 1-5 years experience working in the short-term insurance industry. RE1 / any short-term product training will be ideal. - Responsibilities: - Communicating with the client regarding nature of the claim- - Interpreting and...


  • Durban, South Africa Total IT Recruitment Full time

    Leading Corporate company is looking for M**edical Claims Administrators **to join their dynamic team and who will be responsible to deliver an efficient, consistent and accurate administrative medical debt service to their clients. **Responsibilities**: Providing the Doctors with monitoring and bureau reports that will allow him/ her to have real time data...


  • Durban, South Africa Total IT Recruitment Full time

    Well reputable company is looking for a **Medical Claims Administrator t**o join their dynamic team. The purpose of this role is to deliver an efficient, consistent and accurate administrative medical debt service to our clients. You will also provide the Doctors with monitoring and bureau reports that will allow him/ her to have real time data on the...


  • Durban, South Africa Hi-Tech Recruitment Full time

    **KwaZulu Natal**, Durban** **R 15 000 - R 16 000 Monthly Cost To Company** **Healthcare Claims Administrator** A leadership team that values autonomy R15 000 - R16 000 + Benefits Top Healthcare Bureau with a connection to one of the Top Software Development houses in the healthcare sector is looking for an addition to join their growing team. **Role...


  • 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...


  • Durban, South Africa StepWise Recruitement Full time

    An exciting opportunity exists for a Bureau Claims Administrator with a Healthcare IT Company in Umhlanga, KZN. - Accurately capturing and submitting claims electronically to Medical Schemes; - Promptly responding to claim rejections and resubmitting corrected claims for payment; - Allocating and reconciling remittance advices; - Following-up on outstanding...


  • Durban, South Africa SRG Recruitment Full time

    Overview (Area:) Durban (Salary:) Market Related (Ref: AG) Our client seeks to appoint a suitably qualified and well-experienced Commercial and Domestic Claims Administrator with at least 5 years’ experience in all aspects of commercial and domestic claims including marine small craft. Responsibilities include proficiently process claims within binder...


  • Durban, KwaZulu-Natal, South Africa Bonafide Human Capital (Pty) Ltd Full time

    Job Overview:As a key member of our team, the Service Claims Administrator will play a vital role in ensuring the smooth operation of our warranty and service claims processes. This role is responsible for preparing, reviewing, and submitting warranty claims to manufacturers in accordance with standard operating procedures and OEM requirements.Key...

  • Claims Administrator

    5 months ago


    Durban, South Africa Taylormade Recruitment Full time

    **Qualification** - Matric - Proven FAIS compliance to meet the domestic short term insurance Fit and Proper requirement **Experience** - At least 5 years’ experience in all aspects of insurance **Personal Attributes** - Well groomed - Fluent in spoken and written English, Afrikaans an added advantage - Enthusiastic, passionate, energetic - Good planning...


  • Durban, South Africa Performability Recruitment Full time

    *URGENT OPENING! An experienced Warranty, Repairs and Maintenance Administrator is needed to join a commercial vehicle workshop as a critical member of their team. **Must have a Matric and a minimum of 5 years warranty/costing experience. Preference will be show to candidates who have experience with Evolve. Daily duties include: Receive & checking of...


  • Durban, South Africa Pronel Personnel Full time

    **Job Purpose** **A. Claims Processing** The following directly centers around your daily obligations: - Authorise claims within the set mandate and resolve all claims within the agreed productivity targets and turnaround times by utilising the claims diary system effectively. - Demonstrate a clear understanding and execution of customer complaints and...


  • Durban, KwaZulu-Natal, South Africa eThekwini Full time

    Key Responsibilities:• Obtain all accident documentation in a timely and efficient manner.• Process vehicles for repairs, ensuring all procedures and checks are in place and carried out effectively.Requirements:• Strong organizational and communication skills.• Ability to work in a fast-paced environment.

  • Finance Administrator

    3 weeks ago


    Durban, KwaZulu-Natal, South Africa Mr Price Full time

    Job Title: Finance AdministratorWe are seeking an experienced Finance Administrator to join our Shared Services team at Mr Price. The successful candidate will be responsible for managing insurance claims for divisions and administering/reconciling Credit Cards, Fuel Cards, and Motor Vehicles.Key Responsibilities:Recording and managing insurance claims for...


  • Durban, South Africa Aloecrest Medical Hospital Full time

    KEY WORK OUTPUT AND ACCOUNTABILITIES - Assessing of all claims for all disciplines. - Identify systems / processes enhancement and implementation. - Management of the Service Level Agreements with medical schemes. - Vendor documentation manage and administer. - Assist in telephone queries. - Give feedback to vendors on queries. - Use system for updates. -...

  • Sales Administrator

    5 months ago


    Durban, South Africa RCL FOODS Careers Full time

    Are you an enthusiastic individual ready to tackle the working world. RCL FOODS has an exciting opportunity for a Sales Administrator to join our fantastic Customer team based in Westville. The successful Sales Administrator should be an organised individual, passionate about sales that will provide effective support to the Customer team through accurate...

  • Sales Administrator

    5 months ago


    Durban, South Africa RCL Foods Full time

    Job Description Are you an enthusiastic individual ready to tackle the working world. RCL FOODS has an exciting opportunity for a Sales Administrator to join our fantastic Customer team based in Westville. The successful Sales Administrator should be an organised individual, passionate about sales that will provide effective support to the Customer...