Pl Claims Administrator

2 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 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**:

- Matric (Grade 12)
- A tertiary qualification (NQF6 or above) with relevant business orientation advantageous

**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**:

- Knowledge of Financial institutions (advantageous)
- Computer Literate (MS Office Package)
- Excellent administration and organisational skills

**Competencies**:

- Good business acumen
- Able to communicate clearly and effectively both verbally and in writing
- Demonstrate good telephone etiquette
- Display strong attention to detail and analytical skills
- Have good problem-solving abilities
- Be solution driven and take accountability and responsibility for your work
- Deadline and target-driven particularly in a production environment
- Be adaptable
- Can work within a teamwork environment
- Have stress tolerance and resilience

**Duties and Responsibilities**:
**Main duties and responsibilities**:

- Quality assurance of claims documents received, as per the work instruction
- Ensuring valid banking details linked to the payment scheduler
- Verifying members’ contact details and personal information
- Sending out of communication for 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 on duties with team members 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:

- A Technical Claims Administrator must be an expert in the products offered by PPS to answer customer complaints and questions. 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.

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