Claims Administrator Pretoria - Pretoria
JSM Business Services and Recruitment
Our client based in Pretoria, Gauteng would like to appoint a Claims Administrator/Assessor who would be responsible to handle the full process of receiving the claim from the client up until the payment to settle the insurance claim has been effected. They operate in the insurance industry and at least 2 years' relevant experience is required. If in credit life insurance it would be a benefit. Key Responsibilities: Assessing and processing insurance claims in accordance with company policies and procedures, as well as applicable laws and regulations. Providing exceptional customer service to policyholders, claimants, and other stakeholders, ensuring that their concerns and inquiries are addressed in a timely and efficient manner. Investigating, analyzing, and evaluating claim information to determine the extent of liability and validity of claims. Collaborating with the underwriter to ensure the accurate and efficient resolution of claims. Maintaining detailed and accurate records of claims activities, including claim decisions, communication logs, and settlement details. Continuously updating and expanding knowledge of industry trends, regulations, and best practices to ensure the highest level of service and compliance. Participating in training and development opportunities to enhance skills and contribute to the overall success of the team and organization. Requirements: A minimum of 2 years of experience in the insurance industry, preferably in a claims handling or administration role. Strong analytical, problem-solving, and decision-making skills, with the ability to interpret complex information and make informed decisions. Excellent communication and interpersonal skills, with the ability to interact professionally with a diverse range of stakeholders. Proficiency in Microsoft Office Suite, particularly Word, Excel, and Outlook, as well as experience using claims management software. A strong understanding of insurance laws, regulations, and industry best practices. A customer-focused mindset, with the ability to empathize with claimants and provide solutions to meet their needs. R13 000 to R14 000 per month ctc
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