Claims Administrator Garden Route - Western Cape
Sydsen Recruit
Reference: CAW005434-MU-1 Commercial Claims Administrator A brokerage in the Garden Route is on the lookout for a qualified and experienced Commercial Claims Administrator to join their team. Job Overview: As a Commercial Claims Administrator, you will play a pivotal role in managing and processing claims for commercial insurance policies. You will be responsible for accurately assessing claims, communicating with clients and third-party stakeholders, and ensuring efficient resolution of claims within established timelines. Attention to detail, strong organizational skills, and excellent communication abilities are essential for success in this role. Key Responsibilities: Claims Processing : Receive, review, and process incoming commercial insurance claims promptly and accurately. Assess the validity of claims by gathering and analyzing relevant documentation and information. Verify policy coverage, deductibles, and other pertinent details to determine claim eligibility. Input claim information into the database or claims management system accurately and efficiently. Communication and Customer Service: Serve as the primary point of contact for clients, brokers, and other stakeholders regarding claim inquiries and updates. Communicate claim decisions, requirements, and resolutions clearly and professionally to all involved parties. Address client concerns or complaints regarding claims in a timely and empathetic manner, striving to provide satisfactory resolutions. Documentation and Record-Keeping: Maintain accurate and organized claim files, ensuring all relevant documentation is complete and up-to-date. Prepare and submit necessary reports, documentation, and correspondence related to claims processing. Monitor and track the progress of claims, following up as needed to ensure timely resolution. Compliance and Regulations: Adhere to all relevant laws, regulations, and industry standards governing commercial insurance claims. Stay updated on changes in insurance laws, regulations, and industry practices, and incorporate these changes into claim handling processes as needed. Ensure compliance with company policies and procedures throughout the claims handling process. Collaboration and Teamwork: Work collaboratively with other departments such as underwriting, legal, and finance to resolve complex claims issues. Provide support and assistance to colleagues as needed, fostering a positive and cooperative work environment. Qualifications: RE5 & NQF4 / 360 credits essential Bachelor's degree in Business Administration, Finance, Insurance, or a related field preferred. Requirements: Proven experience in commercial insurance claims administration or a similar role. Strong understanding of commercial insurance policies, coverage, and claim procedures. Excellent analytical skills with the ability to assess and evaluate complex claim situations. Exceptional communication skills, both written and verbal, with the ability to effectively interact with clients and stakeholders. Proficiency in using computer systems and software for data entry, documentation, and communication. Detail-oriented and highly organized, with the ability to manage multiple tasks and priorities effectively. Knowledge of relevant laws, regulations, and compliance requirements pertaining to insurance claims. Remuneration: R15 000 - R25 000 basic salary (depending on experience) Apply now Visit our website for more opportunities: www.sydsenrecruit.com (Follow us on Facebook, Instagram and LinkedIn) SYDSEN RECRUIT - THE NEXT LEVEL OF EMPLOYMENT
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