Claims Administrator | Johannesburg

The Recruitment Council
Johannesburg
ZAR 200 000 - 300 000
Job description

Our client, an integrated retirement, investment, life, and insurance solutions company, is looking for a Claims Administrator. You will be responsible for gathering all necessary information related to new and existing Life and Funeral Claims.

Responsibilities:

  1. Administration: Conduct data entry into company systems, and review and verify the information to ensure accuracy and accessibility.
  2. Data Collection and Analysis: Perform basic data entry tasks, including data verification.
  3. Data Management: Support others by working on a variety of data management tasks. Provide Claims Assessors with the necessary assistance in gathering information/documents as and when required.
  4. Document Preparation: Use standard office software to carry out basic formatting on letters, memoranda, and routine reports.
  5. Handling Enquiries and Correspondence: Answer the telephone and assist callers or those making varied enquiries by email or mail with basic requests for information, directing more complex matters to colleagues as necessary.
  6. External Communication: Create positive experiences for clients by interacting courteously with them.
  7. Customer Service: Carry out standard customer service activities and handle simple customer enquiries.

Behavioral Competencies:

  1. Decision Quality: Makes good and timely decisions that keep the organization moving forward.
  2. Manages Complexity: Makes sense of complex, high quantity, and sometimes contradictory information to effectively solve problems.
  3. Plans and Aligns: Plans and prioritizes work to meet commitments aligned with organizational goals.
  4. Customer Focus: Builds strong customer relationships and delivers customer-centric solutions.
  5. Communicates Effectively: Develops and delivers multi-mode communications that convey a clear understanding of the unique needs of different audiences.
  6. Ensures Accountability: Holds self and others accountable to meet commitments.
  7. Drives Results: Consistently achieves results, even under tough circumstances.
  8. Being Resilient: Rebounds from setbacks and adversity when facing difficult situations.
  9. Manages Conflict: Handles conflict situations effectively, with a minimum of noise.
  10. Collaborates: Builds partnerships and works collaboratively with others to meet shared objectives.

Skills:

  1. Verbal Communication: Use clear and effective verbal communication skills to express ideas, request actions, and formulate plans or policies.
  2. Policy and Regulation: Interpret and apply knowledge of laws, regulations, and policies in the area of expertise.
  3. Numerical Skills: Use an understanding of numerical concepts to perform mathematical operations such as report analysis.
  4. Computer Skills: Support business processes by understanding and effectively using standard office equipment and standard software packages.
  5. Assessment: Analyze data from multiple sources to draw appropriate conclusions and make suitable recommendations.
  6. Data Collection and Analysis: Analyze data trends for use in reports to help guide decision making.
  7. Compliance: Achieve full compliance with applicable rules and regulations in management and/or operations.

Qualifications:

  1. Matric / Grade 12 / SAQA Accredited.
  2. Equivalent Regulatory Exam 5.

Experience:

  1. 1 – 2 years working experience in the life/funeral insurance industry, preferably within an administrative function.
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