Current jobs related to Claims Administrator - Rosebank, Gauteng - Gavanni Insure

About Gavanni Insure

Gavanni Insure is a leading, black-owned financial services provider specializing in

comprehensive group funeral scheme administration. Our commitment is to provide

dignified, reliable, and culturally sensitive support, especially during the claims process, which

is the most critical client touchpoint. We are focused on eliminating historical claims backlogs

and ensuring prompt, compliant claim payouts.

Role Summary

The Claims Administrator is responsible for the end-to-end processing and settlement of

funeral claims. This is a high-stakes, administrative role that requires meticulous attention to

detail, adherence to regulatory timelines, and high empathy. The core objective is to ensure

claims are handled efficiently, compliantly, and with the utmost sensitivity.

Key Responsibilities

Claim Submission & Vetting: Receive, log, and meticulously vet all incoming funeral

claims and supporting documents against policy requirements and the claims

checklist.

Documentation Management: Request and track all outstanding documentation

(e.g., Death Certificate, BI-1663, certified IDs) from claimants or scheme

administrators to ensure claim validity.

Compliance & Due Diligence: Ensure every claim is processed in full compliance with

policy wordings, regulatory guidelines (TCF), and anti-fraud protocols.

Claims Processing: Perform accurate claims calculations, submit necessary

documentation to the underwriter for final approval, and manage the claims

payment process internally.

Proactive Communication: Maintain clear, empathetic, and professional

communication with claimants and scheme administrators regarding the status,

reason for suspension, or finalization of claims.

Claims Reporting: Prepare and submit accurate claims ratio, fraud, and payment

status reports to management and the finance department daily and weekly.

Minimum Requirements & Skills

Minimum 3 years' proven experience in claims processing or administration,

preferably within the Long-Term Insurance or Funeral industry.

RE5 Certificate (Regulatory Examination for Representatives).

Exceptional organizational skills and acute attention to detail are non-negotiable for

managing complex claims documentation.

High degree of empathy, professionalism, and calmness when interacting with

bereaved clients.

Strong understanding of South African claims requirements (e.g., DHA

documentation, FICA).

Ability to work accurately under pressure to meet time-sensitive payment deadlines.

Demonstrated proficiency in claims management systems and MS Excel.

Job Type: Full-time

Experience:

• Claims processing: 3 years (Required)

Language:

• 2 or more South African languages (Required)

License/Certification:

• RE 5 (Required)

Work Location: In person