Senior Clerk: Claims
5 months ago
To intimate and finalize claims and live our values, while providing excellent customer service to both internal and external clients.
You will be working for a company that is over 100 years old with strong values which are customer centric.
**Key Performance Areas**:
**Receive claim and prepare documentation**
- Receive, investigate and intimate all claims daily, differentiate between new claims and other correspondence
- Determine status of policy and whether the deceased enjoys cover, verify and adjust policy details where necessary
- Investigate premium, policy and claim history
- Open and process claims according to claims procedure, and refer fully completed claims to underwriter
- Complete all claims within twenty-four hours
- Investigate complaints received and report back to all stakeholders
**Receive and complete daily correspondence**
- Receive daily loose correspondence, match with file and refer to underwriter
- Receive diary letters daily, match to file and send original to client
- Send all claim related correspondence for scanning
**Handle complex enquiries from clients, branches and other departments**
- Attend to all written and verbal enquiries from clients, branches and other departments
- Compile claim quotations on the system
**Cheque requests**
- Compile cheque requisitions and write backs
- Receive cheques from finance department and send out with necessary letters
- Attend to all cheque stop payments or reversals within 3 days of receipt
- Process ex gratia payments on the day of receipt
**Compile statistics and perform ad hoc duties**
- Compile daily statistics of finalized claims
- Perform ad hoc duties as requested by supervisor / Management
**Accident Benefit**
- Process accident benefit
- Request for outstanding requirements
- Send to underwriter when documents are received
- Matric
- 2 - 3 Years' experience in Life insurance / dealing with death Claims
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