Disability Claims Administrator
6 months ago
**Introduction**
**Role Purpose**
Provide efficient and effective administration support to ensure the smooth running of a functional area.
**Requirements**:
- Qualification minimum: Grade 12 (NQF Level 4)
- A working knowledge of Office 365
- Intermediate Excel
- 1 to 2 years relevant experience
- Understanding of the Group Insurance Industry
- Exposure and knowledge of the Disability process
- Understanding of basic medical terms
**Duties & Responsibilities**
**INTERNAL PROCESS**
- Receive and manage all calls from internal and external clients.
- Provide first time call resolution to resolve all queries timeously and effectively.
- Dealing with clients in a competent, efficient and professional manner in accordance with the quality standards.
- Perform an efficient and accurate administrative function.
- Ensure accurate completion of documentation as per departmental guidelines in order to meet client needs.
- Take ownership of escalated and unresolved queries and ensure they are resolved timeously and effectively
- Compliance with workplace policies and procedures
- Identify risks to the company and escalate accordingly.
Engage with appropriate training interventions to promote own professional development.
- Actively live the MMH values
- Maintain effective client relationships to ensure successful service delivery and support.
- Monitor customer delivery constraints and escalate exceptions to management.
- Maintain positive and productive relationships with key clients.
- Scanning and Indexing.
- Update workflow system and upload documents with personal member information.
**CLIENT**
- Build and maintain relationships with clients and internal and external stakeholders.
- Deliver on service level agreements made with clients and internal and external stakeholders in order to ensure that client expectations are managed.
- Make recommendations to improve client service and fair treatment of clients within area of responsibility.
- Participate and contribute to a culture which builds rewarding relationships, facilitates feedback and provides exceptional client service.
**PEOPLE**
- Develop and maintain productive and collaborative working relationships with peers and stakeholders
- Positively influence and participate in change initiatives.
- Continuously develop own expertise in terms of professional, industry and legislation knowledge
- Contribute to continuous innovation through the development, sharing and implementation of new ideas
- Take ownership for driving career development
**FINANCE**
- Identify opportunities to enhance cost effectiveness and increase operational efficiency
- Manage financial and other company resources under your control with due respect
- Provide input into the risk identification processes and communicate recommendations in the appropriate forum.
**Competencies**
- Planning and Organisation Skills
- Accountability
- Adaptability
- Results Orientation
- Attention to Detail
- People Skills
- Customer Orientation
- Business Administration Skills
- Business Writing Skills
- Communicating with Impact
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