Claims Administrator

Job
Overview

  1. Finance, HR and Administration
  2. Permanent
  3. FIS
  4. Western Cape
968672
Market related

Job Title: Claims Administrator
Location: Cape Town
Salary: Negotiable
Contract/ Perm:
Discipline: Insurance

________________________________________
The Claims administrator contributes to the organisational goals by processing (from registration through to settlement) and validating insured’s (& Third parties’) claims within reasonable time frames to meet the insured’s needs and requirements.

Other administrative functions include but are not limited to attending to diary and processing agreements of losses and payment requests.

Salary negotiable for correct candidate depending on experience and knowledge.

Minimum Job Requirements
• Matric
• Clear criminal record
• Minimum of 2 years’ experience in claims administration
• Bilingual (English and Afrikaans)
• Computer literacy – MS Word, Excel and Outlook
• Reliable transport

Skills:
• Previous experience on System A (TIAL) would be an advantage.
• Good communicator (verbal & written).
• Integrity, responsibility, and accountability.
• Work under pressure and able to meet deadlines.
• Effective Administration.
• Attention to detail.
• Excellent time management skills.
• Diplomatic and patient.
• Problem solving.
• Display initiative, maturity and a high degree of professionalism.
• Liaise and build relationships with clients.
• Quality control.
• Negotiation.
• Risk Management.
• Decision making.
• Customer service.
• Team player.
• Work independently/take ownership.

Key Responsibilities:

• Operational
o Sound knowledge of claims principles in industry including Claims management.
o Actively manage and oversee start to end of claims function including all associated claims administration.
o Contribute to the growth and profitability of the Company by providing excellent service and maintaining relationships.
o Manage and organize day to day operations by establishing priorities to administer claims on Company’s delegated authority and maintain the standards of the claims department.
o Assess the claims internally.
o Ensure all technical aspects for claims settlement are adhered to.
o Negotiate settlement of the claims with all relevant stakeholders.
o Daily diary files to be extracted and dealt with.
o Attending to Processing of payment requests to finance department and associated administration.
o Registering claims with the reinsurers/co insurers companies.
o Facultative reinsurance & co-insurance recoveries if required.
o Monitor and periodically review estimates.
o Appointment of investigators, assessors, loss adjusters and other experts if necessary.
o Archiving of claims files.

• Relationship Management
o Liaising in a professional manner with brokers and other insurers in respect of claims aspects.
o Following up on regular intervals and provide constructive feedback to brokers and management .
o Respond to queries within 24 hours.
o Liaising with attorneys, giving instruction to attorneys to act on Insurers behalf;
o Work with different people internally and externally to improve service, efficiency, and improve presentation of information.
o Procure service providers and partners, negotiate costs.
o Actively build, improve and maintain relationships with all stakeholders, i.e. internally and externally.

 

"You must be able to attend a local interview to be considered for this role"
______________________________________
Contact
donna.lee.agrella@trsstaffing.com
za.trsadd@trssa.com

TRS Staffing does not discriminate on the grounds of age, race, gender, disability, creed or sexual orientation and complies with all relevant South African legislation. As per legislation, due consideration is given to previously disadvantaged individuals.

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