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Commercial Claims Administrator - Western Cape

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:

  1. 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.
  2. 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.
  3. 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.
  4. 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.
  5. 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!
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