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Pretoria: Claims Navigator

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Job Description

Duties & Responsibilities Key roles and responsibilities: Claims Processing: Register claims, confirm documentation, and assist claimants through the process. Guidance & Support: Provide clear information on policy terms, benefits, and procedures. Coordination: Act as the central point of contact between internal teams and external organizations. Issue Resolution: Monitor claim progress and resolve delays or basic claim-related issues. Confidentiality: Manage sensitive information with discretion. Payments & Banking: Capture and verify proof of payments (POPs) for claims and refunds, confirm and load banking details. Policy Management: Save and assist with policy schedules, ensuring accessibility. Customer Feedback: Manage and respond to reviews on Hellopeter. Desired Experience & Qualification Education: Matric / Grade 12 (essential) A certificate or diploma in insurance, finance, or administration (advantageous) Experience: 0–2 years of experience in claims administration, insurance, or customer service Experience handling confidential data Technical Skills : Proficiency in MS Office (Word, Excel, Outlook) Soft Skills: Excellent communication and interpersonal skills Strong attention to detail and time management Problem-solving and multitasking abilities High level of professionalism and confidentiality Customer-centric mindset



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