Claims Administrator (x2)

SUMMARY:
Claims Administrator – Waterkloof Glen, Pretoria
Salary package: Between R18 000 – R22 000 (Depending on experience & qualifications)

POSITION INFO:
Our client, a well-established insurance brokerage, is seeking a Claims Administrator to manage the end-to-end administration of personal and commercial insurance claims. The role requires excellent administrative, time management, and communication skills to ensure efficient claims processing and outstanding client service. Key Responsibilities: Claims Management: Administer and process personal and commercial lines insurance claims from initiation to completion. Collect and assess necessary documentation (e.g., incident reports, claim forms, photos, police reports). Coordinate with policyholders, adjusters, and third-party service providers to gather relevant information. Customer Interaction: Serve as the primary point of contact for customers throughout the claims process. Provide clear and timely communication to claimants about the status of their claims and any additional information needed. Handle customer inquiries and resolve issues related to claims in a professional and empathetic manner. Claims Processing: Review claims for completeness and accuracy and ensure that all required information is provided. Ensure claims are processed efficiently and in accordance with company policies and guidelines. Document all claim activities and ensure that the claims database is updated with the latest information. Claims Accounts and Invoicing Management: Manage all financial aspects relating to claims, including the accurate processing of claims payments, recoveries, excess collections, and supplier invoices. Verify and reconcile invoices received from assessors, contractors, panel beaters, service providers, and other third parties before submitting them for payment. Ensure claims-related payments are processed within agreed service level agreements and in accordance with insurer and company financial controls. Prepare, issue, and monitor claims-related invoices where applicable, ensuring accurate allocation to the correct claim files and cost centres. Reconcile claims accounts, investigate and resolve payment discrepancies, and maintain accurate financial records. Liaise with insurers, finance departments, suppliers, and clients regarding outstanding payments, recoveries, refunds, and account queries. Maintain comprehensive financial records for audit purposes and ensure compliance with internal controls, insurer requirements, and regulatory standards.