Claims Administrator
1 week ago
Hello… an exciting new opportunity has just become available at Lumkani, an affiliate of Hollard. We are looking to recruit an experienced Claims Administrator, who is detail-oriented, organised, and able to manage your workload efficiently while delivering professional, empathetic customer service. Who understands claims procedures, policy terms, and basic financial documentation, and can accurately register, validate, and process claims within required timelines. The Incumbent is expected to work confidently with MS Office, maintain precise records, communicate clearly with clients and service providers, and handle confidential information with integrity. In addition must be able to identify potential risks or fraud, escalate complex cases appropriately, and perform well under pressure as a reliable, solutions-focused team member.
Who we are:
Lumkani uses IoT technology to mitigate household risks and provide financial services to previously under-served markets in South Africa. We provide short and long-term insurance to increase resilience in low income households and enable our clients to thrive. We are a young company – no idea to improve what we do is off limits. We strive to test, break, re-test, and embed ideas that work. Our high-functioning teams are based in Johannesburg and Cape Town.
Why work with us?
A-Players at Lumkani enjoy day-to-day engagements with senior management as well as peers both in the field and in the office. They are given a platform to make suggestions on process improvements and take part in building great customer experience. Change is constant as we are a young company and with this comes opportunities for growth both personally and professionally.
Key Responsibilities:
Your duties and responsibilities as the Lumkani Claims Administrator will include:
Administering client's claims:
- Phone Assessments: Conduct thorough phone interviews with claimants to gather necessary information and assess claims.
- Claims Processing: Manage the entire claims process from initial intake to resolution, ensuring timely and accurate processing of claims.
- Backlog management: Managing a backlog of claims effectively to rapidly ensure claims get processed
- Documentation: Review, verify, and maintain all necessary documentation related to claims, ensuring compliance with company policies and regulatory requirements.
- Customer Service: Provide exceptional support to claimants throughout the claims process, addressing inquiries and resolving issues promptly.
- Assessment support: Managing external assessors to ensure proper validation of in-field claims assessments
- Data Entry: Accurately input and update claims data into the claims management system.
- Collaboration: Work closely with other departments and stakeholders to facilitate claim resolution and ensure a seamless process.Reporting: Generate and maintain reports on claim status, trends, and metrics as required.
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