Job Purpose

A niche underwriter, specializing in environmental impairment for transport and site-based risks seeks a Claims Administrator to focus on the administrative aspect in the claims department. Claims administration is fast paced and a vital aspect to our business operation. 

 

Responsible For

  • Ensure adherence to organizational policies, practices, and procedures.
  • Deliver market leading claim service and product knowledge.
  • Verification of claims and claim registration. Standard Operating Procedures (SoP) – ensuring all administration and data capturing requirements are met.
  • Requesting and reviewing of claim forms, follow ups on any outstanding documents
  • Compellation of claim file for management sign off
  • Updating of claim status on policy administration system
  • Requesting and following up on excess amounts due within stipulated time frames
  • Issuing of agreements of loss following management approval
  • Communication with brokers on a regular basis regarding the claim status
  • Recording and updating of claim estimates
  • Preparation of claim files to be processed for payment
  • Issuing of loss ratio reports
  • Weekly reporting on claim estimates, statuses, and outstanding matters
  • Electronic filing
  • Ensure compliance with data integrity requirements.
  • Resolving and or escalating claims queries.
  • Deliver customer service and quality.
  • Attend to queries and provide regular feedback.
  • Ensure adherence to organizational policies, practices and procedures.
  • Ensure product and legislative knowledge is always current
  • Manages complexity – makes sense of complex and sensitive information, ability to independently make sense of information.
  • A calm disposition – personality trait of remaining composed and collected in complicated or stressful situations.
  • Accountable – a strong sense of self accountability and the ability to hold others to meet their commitments.
  • Ability to work independently as well as part of groups – collaboration on large projects will be required.
  • Adaptability
  • Cross-Functional Communications
  • Excellent organizational, planning and prioritizing skills
  • Diligent and attentive to details

Minimum Requirements:

  • Matric
  • RE 5
  • Minimum FETC in Short Term Insurance NQF 4
  • Class of Business in Commercial Lines
  • 2 + years’ experience in claims admin
  • Microsoft Office suite of products

Advantageous

  • Experience on Grail
  • Bilingual
  • Pollution Impairment/liability experience
  • Higher certificate in Short-Term Insurance NQF 5 advantageous 
  • Experience in being on call for claims

Note:

  • Suit candidate available immediately.
  • Fixed Term Contract.