Claims Administrator

1 week ago

Parktown North, Gauteng, South Africa PPS Recruitment Full time
Job Advert Summary

Co-ordinate and assist with the administrative aspects of the overall claims process support for personal lines and commercial claims. Must have the ability to process in all facets of the Short Term Claims department and resolve queries from start to end. Delegate authority to manage the process and resolve any conflict between various role players internally and externally. Administer duties correctly and efficiently within the specifications of PPS Short-Term Insurance Company's policy terms and conditions.

Minimum Requirements

Education:
• NQF Level 4: Grade 12

Experience:

  • Experience in an claims 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:

  • Strong communication skills (written & verbal).
  • Strong customer service skills.
  • Service driven, with a focus on accuracy and quality of information delivered within service levels.
  • Strong attention to detail.
  • A strong work ethic and a drive to exceed expectations.
  • Strong analytic and problem-solving skills.
  • Adaptability to different stakeholders, audiences, and environments.
  • Computer literate (Microsoft Suite)

Competencies:

  • Adapting and responding to change.
  • Be solution driven and take accountability and responsibility of own work.
  • Persuading and influencing.
  • Deciding and Initiating Action.
  • Collaboration.
  • Coping with pressure.
Duties and Responsibilities

Key Responsibilities

  • Assist in the processing of claim payments, settlements, and reimbursements. Coordinate with accounting and finance departments to ensure accurate and timely disbursement funds to policyholders or third-party claimants.
  • Customer Service and Support Provide exceptional customer service to policyholders throughout the claims process.
  • Co-ordination and support between all role players – internal and external.
  • General administration assistance required in efficiently and timeously processing of claims.
  • Claim Complaints handling and resolution.

Process optimization and efficiencies

  • Duties include working with cross-functional teams to deliver exceptional service to all intermediaries/members as set out in the relevant service level agreements.
  • Combat insurance fraud by ensuring strict compliance to mandates, set procedures, philosophies and Company rules and regulations.
  • Uphold all service excellence principals as communicated by management.

Stakeholder Management

  • Build and maintain relationships with internal and external stakeholders.
  • Collaborate effectively with peers to achieve business results

  • Claims Consultant

    1 week ago

    Parktown North, Gauteng, South Africa PPS Recruitment Full time

    Job Advert SummaryThe purpose of an indemnity claims consultant is to facilitate a smooth and fair claims process for policyholders. They act as a bridge between the policyholder and the insurance/re-insurance company, ensuring that claims are handled efficiently and effectively. The primary responsibility is to assess the validity of claims, manage the...

  • Payments Administrator

    2 weeks ago

    Parktown, South Africa Rand Mutual Assurance Full time

    **THE JOB AT A GLANCE** As a Payments Administrator, you will be responsible for assisting with the administration functions within the financial department for Claims, Commissions, Funeral and Pension payments. You will also be responsible for uploading payment reconciliations, reporting and actioning incoming queries. **WHAT WILL YOU DO?** **Payment...

  • Claims Administrator in Short-term Insurance

    2 weeks ago

    Durban North, South Africa AOS WEALTH (Pty )Ltd Full time

    **ONLY CANDIDATES WITH THE REQUIRED EXPERIENCE TO APPLY.** **Type of employment**: Permanent **Salary**:R9000 - R11000 (Dependent on qualification and experience) **Reliable Transport** **Minimum Requirements**: - Matric - NQF4 Short Term Insurance (150 FAIS credits) - Preferred - Min 2 years’ - Junior to Mid level Experience. - Excellent...

  • Administrator / Underwriter / Claims Handler

    6 days ago

    Durban North, South Africa HVM Full time

    **Job purpose/mandate** A well-established, Durban North-based entity seeks Administrator. **Specific duties and responsibilities** *Short-Term Insurance Underwriting Administration and Claims Administration. *Must have comprehensive knowledge of Personal Lines and Commercial Lines products. - Administration Role includes: - Broker Assistant - Servicing...

  • Life Claims Assessor 12 Months Contract

    6 days ago

    Parktown, South Africa Rand Mutual Assurance Full time

    **Purpose** To effectively and efficiently process and adjudicate Funeral Fund Claims, within the scope of the Funeral Fund policy rules and prevailing legislation. Also, to enhance and improve customer experience through effective assessment of claims and meeting the requirements and expectations of the role set out below. **Qualifications and Experience...

  • Claims administrator

    4 weeks ago

    Parktown, South Africa Dante Personnel Full time

    Minimum requirements: Matric 3 Years experience in insurance administration Proficient in MS Office (intermediate level) Previous experience with policy processing, renewals, and confirmations Knowledge of cancellations/non-payments by identifying causes and offering solutions (e.g. premium finance) Minimum of 60 FAIS credits Valid drivers license and own...

  • Payments Administrator

    2 weeks ago

    Parktown, South Africa Rand Mutual Assurance Full time

    **THE JOB AT A GLANCE** As a Payments Administrator, you will be responsible for assisting with the administration functions within the financial department for Claims, Commissions, Funeral and Pension payments. You will also be responsible for uploading payment reconciliations, reporting and actioning incoming queries. **WHAT WILL YOU DO?** **Payment...

  • Senior Claim Assessor

    2 days ago

    Rustenburg, North West, South Africa The South African Department of Employment & Labour Full time

    Centre: Rustenburg **REQUIREMENTS**: Three years (3) tertiary qualification in Public Management/ Business Management/ Public/ Business Administration/ Administrative Management/ Management/ Financial Accounting/ Cost and Management Accounting/ Operations Management/ Production Management/ Auditing/ HRM/ Nursing. 2 years' functional experience in a...

  • Warranty Administrator

    1 week ago

    Johannesburg North, South Africa SydSen Recruit Full time

    Warranty Administrator (Commercial Vehicles), Kempton Park - Johannesburg My client in the **Automotive Industry** is seeking an **experienced Warranty Administrato**r to join their team based in Kempton Park. **Minimum Requirements**: - Matric qualification or higher - Proficient in MS Office - Must have experience of at least 5 years in similar role...

  • X3 Academic Operations Administrator

    1 week ago

    Parktown, South Africa ADvTECH Full time

    **Job Purpose**: To maintain student records; including Reseller Administration, responding to product queries, Reseller Administration, Assessment administration, Database and Register Management, Communication with Resellers and Students, Support Centre Administration and Support **Duties & Responsibilities**: Support Centre Administration - Implement...

  • Data Verifier

    1 week ago

    Parktown, South Africa Hollard Recruitment Full time

    **Job Advert Summary**: Helloan exciting new opportunity has just become available in our **Insure, Recoveries and Liabilities **(Operations) area. We are looking to recruit a **Administrator Data Verifier.** **Role Objectives**: To ensure that sufficient information is sourced in order to allocate claims correctly.To ensure a World Class experience in...