Our client in the Insurance industry is looking for an Administrator: IL Claims Assessment.

Key responsibilities

1. Assessing and processing of life and funeral claims
• Process funeral and life claims and prepare for claims approval process within 48hrs of receipt
• Verify premiums paid on the system prior to assessing claims
• Verify deceased and beneficiaries against main policy on the system
• Confirm the policy holders relationship to the deceased
• Liaise with Re-insurers where necessary on Life cover policies below R300 000.00
• Refer suspicious fraudulent claims to Specialist administrator
• Discuss complex claims with in-house professional advisor and consultants
• Follow up timeously on all outstanding claims
• Liaise with relevant stakeholders on outstanding and incorrect Id numbers and where the person is covered on the application form but does not exist on the system
• Liaise with Client services where the deceased died before the policy become inactive. To activate the policy prior to assessing
• Responsible for identifying disputes and complaints of complex claims
• Recommend a solution to Senior Manager where claim arises a day before the 6 month waiting period expires
• Update AIMS notes on system
• Be a 2nd validator on captured and authorized claims
• Give feedback on follow-up claims to Section leader
• Forward a spread sheet of all finalized claims to Section Leader

2. Claims pay-out
• Confirm status of the claim if it is approved or declined
• Where the age of the deceased differ with the one on the system apply the penalty formula
• Recommend decline/payment of claims
• Double check the consistency on banking details attached to the claim and the one on the system
• Forward the claim to Manager for payment
• Check the finance list and sign off

3. Reconcile information received, processed and finalized
• Compile monthly individual statistics
• Compiling all branch registers month end (Death)
• Present challenges experienced and solutions taken to resolve them

Requirements
• Matric
• NQF 4 in Insurance (Advantage)
• 2 years life insurance in claims
• Intermediate MS Office Word, Excel, PowerPoint

Send your CV and latest pay slip to *****@*****.co.za

ATripleA Recruitment and Temps

www.********.co.za

#atriplea #recruitment #vacancy #administration

Our client in the Telecommunications industry is looking for an Administrator.

Key responsibilities
• Assist in managing and sorting out the sales reporting for the UC Division
• Previous experience essential
• Handling incoming and outgoing mails
• Answer telephones
• Schedule appointments (external and internal)
• Draft reports
• Edit correspondence
• Maintain database and filing systems
• Provide high-level admin support

Requirements:
• Minimum of 2 to 4 years’ experience in Administrator role
• Financial Background
• Knowledge of what GP, Lines of Business etc. is
• Proficient in Excel (up to Vlookup level)
• Able to work independently

Send your CV and latest pay slip to *****@*****.co.za

ATripleA Recruitment and Temps

www.********.co.za

#atriplea #recruitment #vacancy #administrator