Job Description
Location: Pretoria, South Africa
Salary: R19 800 – R22 000
Our client in the Insurance industry is looking for an Administrator: IL Claims Assessment.
Key responsibilities
- 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
- 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
- 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 .za
ATripleA Recruitment and Temps
.za
How to Apply
Click the green “Go Apply” button below to apply directly online with the employer.
About Other Insurance Jobs in South Africa
In the context of Other Insurance positions in South Africa, it is common to find a steady demand for professionals who can manage and oversee insurance claims, policy administration, and risk management. Typically, this field operates within various industries, including financial services, technology, and manufacturing sectors.
When it comes to salaries, broad ranges can be expected, with typically starting salaries ranging from R200 000 to R300 000 per annum for junior positions, increasing to around R500 000 to R700 000 per annum for more senior roles. However, please note that actual salaries can vary widely depending on factors such as the size of the company, industry sector, experience level, and qualifications held by the individual.
To excel in an Other Insurance role, common skills include strong analytical and problem-solving abilities, excellent communication and interpersonal skills, a solid understanding of insurance policies and regulations, and experience with policy administration software. Additionally, proficiency in Microsoft Office applications, particularly Excel, is often highly valued. Proficiency in languages such as Afrikaans or isiZulu may also be an advantage in certain contexts.
Other Insurance roles can commonly be found within the financial services sector, where companies that offer insurance products to individuals and businesses need professionals to manage claims and policy administration. Technology companies and manufacturing firms also frequently require staff with expertise in this field. In general, organisations across a range of industries value the skills and experience offered by professionals in Other Insurance roles.
Career progression for those in Other Insurance roles is generally good, with opportunities for advancement to senior positions or into specialist roles such as risk management or policy development. With experience and additional qualifications, individuals can progress into leadership roles within an organisation, or transition into related fields such as actuarial science or claims adjusting.
This information provides general career guidance. Actual salaries and requirements vary by employer.
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