Claims Administrator

3 days ago

Mpumalanga, South Africa HR Circle Full time

Role Purpose
To provide stakeholders with efficient claims advice and administration according to the required standards and procedures in support of the business strategy.

Duties & Responsibilities
- Ensure that all stakeholder communication is accurate, timeous, professional, and relevant.
- Build and maintain mutually beneficial relationships with internal and external stakeholders.
- Adhere to company quality standards and broader regulatory frameworks with regards to the following processes (but not limited to):

- Claims Administration
- Receive claims notification and send and obtain any relevant forms or documents as may be required.
- Administer complete claims process according to defined claims procedures until claims are settled.
- Appoint assessor or loss adjustor.
- Keep internal system and records up to date at all times.
- Keep relevant internal stakeholders up to date on the progress of registered claims.
- Make assessment of claims validity and estimate value and administer mandated claims.
- Arrange approval and payment for claims costs in line with claims and cover.
- Act as intermediary between insurer and client and timeously relay communication, requests and documentation.

Desired Experience & Qualification
- FETC in Short Term Insurance/ FAIS Qualified or relevant qualification
- A minimum of 2-3 years Claims experience
- Excellent written and verbal communication skills
- Excellent analytical skills
- MS Office

Appointments will be aligned to the groups Employment Equity plan and transformation targets.

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