Claims Navigator

SUMMARY:
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POSITION INFO:

Duties & Responsibilities

Key roles and responsibilities:

• Claims Processing: Register claims, confirm documentation, and assist claimants through the process.
• Guidance & Support: Provide clear information on policy terms, benefits, and procedures.
• Coordination: Act as the central point of contact between internal teams and external organizations.
• Issue Resolution: Monitor claim progress and resolve delays or basic claim-related issues.
• Confidentiality: Manage sensitive information with discretion.
• Payments & Banking: Capture and verify proof of payments (POPs) for claims and refunds, confirm and load banking details.
• Policy Management: Save and assist with policy schedules, ensuring accessibility.
• Customer Feedback: Manage and respond to reviews on Hellopeter.

Desired Experience & Qualification

Education:

• Matric / Grade 12 (essential)
• A certificate or diploma in insurance, finance, or administration (advantageous)

Experience:

• 0–2 years of experience in claims administration, insurance, or customer service
• Experience handling confidential data

Technical Skills:

• Proficiency in MS Office (Word, Excel, Outlook)

Soft Skills:

• Excellent communication and interpersonal skills
• Strong attention to detail and time management
• Problem-solving and multitasking abilities
• High level of professionalism and confidentiality
• Customer-centric mindset