Claims Learnership X4

Closing Date
- 2025/03/04
- Reference Number
- SAS250226-1
- Job Title
- Claims Learnership X4 (12 Months)
- Job Type
- Learnership
- Division
- Insurance Operations
- Department
- Claims
- EE Occupational Levels
- Level 1: Unskilled
- Location - Town / City
- Sandton
- Location - Province
- Gauteng
- Location - Country
- South Africa
- Job Advert Summary
- The learner should be able to process and handle claims within the delegated authority by ensuring validity, assessing liability and negotiating settlement, whilst ensuring excellent customer service and cost containment.
- The management of claims should be within the governed framework to ensure compliance with the short term insurance regulations.
- Minimum Requirements

**Minimum Qualifications**:

- Relevant National Diploma in Finance and/or Accounting.
- Matric.

**Minimum Experience**:

- None.

**Please note that preference will be given to people with disabilities.**Responsibilities**:
**1. Administration and Claims processing**
- Perform administration functions - registration of new claims and loading (and authorization) payments.
- Examine and validate new claims and any related documentation thereof.
- Adjust claims and ensure that the merits are inline with Sasria policy cover.
- Ensure that the appropriate documents supporting the quantum are received and the calculations are correct.
- Perform document diary maintenance on IMS system.
- Update the reserve as per reserving policy and keep a regular follow-up outstanding proof of quantum.
- Exercises proper judgment and decision making to analyze the claims exposure, to determine the proper course of action and to appropriately settle the claim within delegated authority.
- Approve claims within delegated authority after verification of all documents and validation thereof under the policy cover.
- Escalate complex and contentious claims to Supervisor.
- Manage and ensure that all other external resources and handle the claim within the required procedures and Sasria philosophy.
- Update notes on the system regularly to ensure notes reflect latest status of claim.
- Inform underwriting department of gaps in cover, omitted documents as well as losses/ gains on premium.
- Handle all customer enquiries and queries promptly and in-line with policy.

**2. Agency/ Broker Liaison**
- Negotiate the settlement of claims.
- Liaise with Agent companies and brokers regularly on the progress of the claim.
- Update all relevant stakeholders on the progress of the claim.

**3. Perform ad hoc tasks**
- Perform any reasonable tasks as and when required by the Line Manager.