Credit Life Claims Administrator
Datafin
Cape Town, South Africa
5d ago

ENVIRONMENT :

A growing insurance company based in the Southern Suburbs is looking for an experienced Claims Assessor to join their Credit Life Claims Team.

DUTIES :

  • Process and check individual life claims such as death, funeral, lump sum disability, cancer, critical illness, retrenchment, road accident injury and temporary disability claims
  • Doing regular follow-ups to obtain outstanding claim documentation
  • Maintain and update claims register
  • Interacting with medical aids, hospitals and medical practitioners regarding medical history required and relevant to assessing the claim.
  • Assessing claims and making final claim synopsis decision
  • Liaising with the reinsurance companies regarding the claim decision
  • Dealing with client queries either telephonically or via e-mail correspondence
  • Arranging for and approving claim payments and Reinsurance refunds
  • Dealing with Ombud cases, complaints and disputes
  • Drafting reports and compiling time lines for Management
  • Providing input for claim related template improvements
  • Other administration related functions
  • Compiling and collating the claim case data files required by the Auditors
  • REQUIREMENTS :

  • Bachelor of Science in any medical related field or similar qualification would be advantages
  • Minimum of 5 years’ experience in Life Insurance Claims assessing
  • Skills required

  • Good written, reporting and verbal communication skills
  • Good negotiation skills and effective in dealing with customers
  • Ability to apply administration principals and work with detail and a high level of accuracy
  • Intermediary MS Office, especially Excel, Word and Microsoft Outlook skills
  • Good time management
  • Excellent planning and organising
  • Works well in a team and independently
  • Analysing
  • Learning and researching
  • Delivering results and meeting customer expectations
  • Coping with pressure and setbacks
  • ATTRIBUTES :

  • Ability to work well under pressure
  • Commitment to meet daily targets and SLA’s
  • Self-motivated
  • While we would really like to respond to every application, should you not be contacted for this position within 10 working days please consider your application unsuccessful.

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