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)
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