Job Description
About the Role
AtripleA recruitment & temps is seeking a Claims Processor to join our client in the long term insurance industry. As a Claims Processor, you will be responsible for processing withdrawals and maturity claims, ensuring timely and accurate payment of policy benefits.
Key Responsibilities
- Check if the claimant is a correct claimant on the policy
- Check if the policy is due to be paid on the particular month
- Verify if all premiums were received
- Process maturity, cash provider, cash back, school fund claims within 48 hours of receipt
- Prepare for claims approval process
- Liaise with Section Leader where necessary (disputed claims)
- Liaise and follow up with relevant stakeholders on outstanding claims
- Refer dispute claims to Section Leader
- Update the client’s details on the system
- Update AIMS notes
- Assist walk-in clients:
• Receive claims from walk-in clients (Funeral, Cash Backs, and Cash Providers, School funds, Life covers, 4sure and Legacy policies)
• Assist walk-in clients with any claims submission, queries/complaints
• Submit claims to clerk administrator to register the claims
• Liaise with branch offices if they will be receiving outstanding documents from the clients who submitted claims at Head Office
- Follow up on outstanding investment claims:
• Follow-up on outstanding claims documentation/investigation (All old and new claims received)
• Update AIMS notes and email branches
• Do bi-weekly follow-ups on the correspondence
• Give inputs to Section Leader on the finalization of claims without the outstanding document or to defer a claim
- Reconcile information received, processed, and finalized:
• Compile monthly individual statistics
• Compile reports as requested by managers
• Compiling all branch registers month end (Death & Withdrawals), making sure all branches captures claims correctly, making follow-ups on a weekly basis, confirming with all branch managers.
• Compiling all Head Office Registers (Withdrawals and Maturities).
Requirements
- Matric
- NQF 3 in Insurance
- 1 year of life insurance experience
Qualifications
Matric
Salary & Benefits
R36 per hour
How to Apply
To apply for this exciting opportunity, please submit your CV and a cover letter outlining your experience and qualifications.
About Other Insurance Jobs in Gauteng
The Other Insurance (OI) industry is a significant sector in Gauteng, South Africa, offering a range of career opportunities for professionals with the right skills and experience. Typically, OI roles are in demand across various industries, including financial services, technology, and manufacturing, as companies seek to manage and mitigate risks associated with their operations.
Generally, OI specialists in Gauteng can expect salaries that vary widely depending on factors such as level of experience, company size, and industry sector. While broad salary ranges cannot be provided due to the variable nature of these factors, it is common for experienced OI professionals to earn between R600 000 and R1 200 000 per annum, while entry-level roles may start at around R300 000 to R500 000 per annum. However, salaries can fluctuate depending on individual circumstances.
Common skills required for OI roles in Gauteng include expertise in financial management, risk analysis, data interpretation, communication, and project management. Other essential skills often include proficiency in insurance software, analytical thinking, problem-solving, and the ability to work under pressure. Many OI professionals also hold relevant certifications or degrees in fields such as actuarial science, business administration, or economics.
The financial services sector is a significant employer of OI professionals in Gauteng, with other industries such as technology and manufacturing also commonly hiring for these roles. Other sectors that may employ OI specialists include healthcare, construction, and logistics. In terms of career development, many OI professionals in Gauteng progress to senior roles within their current organisations or move into related fields such as risk management, auditing, or claims handling.
For those seeking a career in OI, it is essential to develop a broad range of skills and experience, often through formal education and training. Many OI professionals in Gauteng have pursued certifications such as the Fellow of the Institute of Actuaries (FIA) or the Chartered Insurance Practitioner (CIP). Building strong relationships with clients, colleagues, and stakeholders is also crucial for success in this field.
This information provides general career guidance. Actual salaries and requirements vary by employer.
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