Contents Claims Administrator

Responsible for effectively managing the claims function within the short-term assessment field, ensuring successful administration and addressing customers’ needs by providing information, resolving queries, and handling requests.

Qualifications

• Grade 12 or equivalent NQF level 4

Experience

• Minimum of 1 year non motor claim experience

Skills & Knowledge

• Computer proficiency to work effectively with certain assessment tools or software e.g., in-house systems.
• Good verbal and written communication skills (English).
• Working knowledge of claims processes and procedures.

Responsibilities

OPERATIONAL

• Monitor service level agreements (SLAs) with contractors to ensure timely completion of repairs.
• Address delays by following up with contractors and escalating non-compliance where necessary.
• Track the progress of ongoing repairs and ensure timely completion.
• Obtain clearance certificates confirming that work has been completed to the required standard.
• Verify and process final invoices from contractors, ensuring accuracy and compliance with agreed terms.
• Ensure timely submission of assessor reports for claims assessment.
• Cross-check reports for completeness and escalate discrepancies or delays.
• Liaise with assessors to clarify findings and ensure alignment with claim requirements.
• Keep clients informed on the status of their claims at key stages of the process.
• Provide updates on approvals, repairs, and settlement timelines.
• Address customer queries professionally and promptly.
• Accurately capture and update claim details on the insurer’s claims management system.
• Ensure all claim records are well-documented and easily accessible for reference.
• Identify potential risks and escalate suspicious claims to the Line Manager for further investigation.
• Work closely with and support internal teams such as Assessors on claims.
• Review claim submissions to verify all required documents are complete and accurate.
• Follow up with clients or third parties for missing or additional documentation.

COMPETENCIES

• Examining Information: Analyses and processes information; asks probing questions; strives to find solutions to problems.
• Documenting Facts: Writes fluently when documenting facts; understands arguments logically; focuses on finding facts.
• Interacting with People: Is lively and projects enthusiasm; is talkative in making contact; is focused on interacting and networking with people.
• Showing Composure: Stays calm and relaxed during events; is not worried and tolerates stress levels; is composed in dealing with pressure.
• Team Working: Works participatively with others; is democratic and encourages team contributions; collaboratively involves others in decision-making.
• Checking Things: Is meticulous in finding errors; ensures accuracy by being thorough and checking details; produces high quality work by being detailed.
• Following Procedures: Conforms and adheres to rules; closely follows instructions and procedures; minimizes risks by sticking to processes.
• Meeting Timescales: Is target focused and meets deadlines; is punctual and keeps to schedule; is reliable in finishing tasks.
• Upholding Standards: Behaves ethically and justly; is discreet and maintains confidentiality; meets commitments by acting with integrity.
• Managing Tasks: Manages tasks by being organized and methodical; plans activities systematically; sets priorities for tasks.

Should you meet the requirements of this position, please complete application via the link, no later than close of business on Friday, 14 February 2025.

Link

https://www.trending-talent.com/home/Portal/ApplicationDetails?VID=XfAZW5UYRvoElmGYOomtlg==&Stage=true&FromLink=true

Job Category: Administration Call Centre Claims

Job Type: Full Time

Job Location: Johannesburg Pretoria