Short Term Insurance Claims Administrator

Attend to the receipt of the claim and all administration of Short-Term Claims allocated. To provide service excellence in daily tasks when assisting clients with claims, providing correct information and to serve as the link between the client and the insurer. Provide meaningful input to facilitate the finalization of the Claim. Schedule and prioritize the workload to close the claim out within the required deadlines.

Main Job Tasks and Responsibilities:

Daily servicing of clients will include but is not limited to:

• Collecting required information and documentation pertaining to claims.
• Registration of claims (in accordance with applicable Insurance Company policies and procedures, as well as adhering to company's responsibilities with such agreement).
• Follow through with claims process until finalization.
• Keeping client up to date on progress of claims process.
• Update company records as required to reflect initial information about the claim as well as any changes that are made later.
• Addressing various coverage issues through the correct process and documenting through the correct process.
• Problem solving.

Additional profile tasks and responsibilities:

Taking control of total claims team outstanding claims in terms of:

• Ensure regular follow ups and feedback to clients.
• Ensure collection from claims box.
• Ensure continuous and timeous attendance to claims.
• Ensure client satisfaction on all claims.

General Client Management

• Build and maintain constructive and effective relationships with clients by meeting and exceeding expectations.
• Provide consistent, accurate, timely and pertinent communication to clients through “constant touch”, phone calls, e-mails etc.
• Respond to client inquiries/issues within the established timelines.
• Manage their own diary/follow up system on the cardinal system.
• Monitor and review client satisfaction.
• Maintain up to date records of all communication with clients.

All other reasonable duties that might be assigned from time to time.

Education / Experience / Knowledge required:

• Grade 12 qualification.
• Excellent command of the Afrikaans language – non negotiable.
• 2+ years’ experience working with short-term Insurance claims – non negotiable.
• Short-term insurance knowledge advantageous.
• RE5 examination certificate will be advantageous.
• Class of Business: Short Term Personal and Commercial Lines Certificates will be advantageous.
• CPD hours achieved in current cycle will be advantageous.
• Tertiary Qualification in short-term insurance will be advantageous.
• Computer skills and knowledge (especially of Word, Excel, Outlook, Internet) and knowledge of operation of standard office equipment.
• Knowledge of clerical and administrative procedures and systems, such as filing and proper record keeping.
• Knowledge of principles and practices of basic office/administrative management.
• Knowledge of client centricity.
• Excellent telephonic etiquette.

Skills:

• Ability to work under pressure in a calm and collective manner.
• Effective communication skills – Listen and communicate instructions in a clear and simple manner; this relates to verbal as well as written communication.
• Accuracy and attention to detail - Provide correct information and pay attention to every detail.
• Data Analysis – Such as the full client claims history and the impact of that on the claim at hand.
• Problem Solving – Our industry has many challenges and changes therefore the ability to conquer challenges and present creative solutions.
• Diversity sensitivity – Culture sensitivity and the ability to build strong relationships with all colleagues and clients.
• Planning and Prioritizing.

Attitude:

• Positivity and energy – Promote emotional maturity and positive outlook; be energetic and exert radiance.
• Work Ethics – Embrace the work culture and dynamics of the employer
• Professionalism – Always be professional whether at work or at function. Set an example to all around you as you are the face of the company
• Motivated – Stay motivated and be able to motivate team/fellow employees when they feel discouraged.
• Determination & perseverance – When at first you do not succeed, try again. Never give up.
• Enthusiasm – Be enthusiastic in every aspect of your tasks – no matter how trivial it may seem.
• Punctuality – Always be on time for every appointment as this shows respect for the other person/party involved.
• Be Pro-Active – Be a go-getter, do not wait for the opportunity, create the opportunity. Take initiative.
• Honesty – Always be honest and open and people will relate to you and respect you for this. The foundation of a successful business relationship.
• Adaptability & Flexibility - Change is inevitable especially in the insurance industry thus adaptability and flexibility is a must have.

Experience on Cardinal/CIMS system would be advantageous.

Please consider your application unsuccessful should you not receive a response within two weeks of applying.