Claims Processor
AtripleA Recruitment & Temps
Pretoria , ZA
33d ago

Job Description :

Clerk : IL Claims Processor Temporary Assignment

Responsibilities :

1.Processing of investment claims :

  • 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 where received
  • Processing maturity, cash provider, cash back, school fund claims within 48hrs 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 clients details on the system
  • 2.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
  • 3.Follow up on outstanding investment claims :

  • Follow- up on outstanding claimsdocumentation / investigation (All old and new claims received)
  • Update AIMS notes and e-mail 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
  • 4.Reconcile information received, processed and finalised

  • 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 years’ experience life insurance
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