Job Description

Duties & Responsibilities

Claims Administration Administer complete claims process according to defined claims procedures until claims are settled Apply policy terms and conditions Ensure accurate and timely claims processing Make assessment of claims validity and estimate value and administer mandated claims Act as intermediary between insurer and client and timeously relay communication, requests and documentation Engage with insurers regarding recoveries, diarise follow-ups and keep clients informed Ensure productivity targets are met Contribute towards and ensure continuous improvement in own and team performance Adhere to company mandates Participate and contribute in ad hoc projects Report any suspected fraud, misrepresentation and/or dishonesty Collect, review and analyze a client's relevant history and records and obtain additional information (as required) to accurately determine the level of risk for insurance purposes. Effect amendments to all policies on the system and send to the client as requested Liaise with the client to ensure all information/certificates are accurate and recorded on the system. Liaise with Management or relevant specialists to negotiate / discuss risk assessment. Analyse statistical information using in-house programmes to ensure premiums are competitive and that loss ratios remain profitable. Liaise with clients to specify conditions imposed on each policy Adhere to legal requirements, industry regulations and customer quality standards sent by the company. Continually build and maintain good working relationships with stakeholders. Perform the underwriting function according to the paperless system of operation/ data management.
Desired Experience & Qualification

RE 5 and minimum NQF4 qualification and Matric

Job Type: Full-time

Pay: R20000,00 - R30000,00 per month

Work Location: In person