Claims Administrator

The Claims Administrator is responsible for providing efficient, accurate and customer-focused administrative support throughout the claims lifecycle. To act as the primary liaison between clients, the outsourced Claims Administrator (TPA), insurers, assessors and internal stakeholders, ensuring claims are progressed within agreed service levels while delivering an excellent customer experience. The role is responsible for monitoring claim progress, maintaining accurate records, resolving routine queries, coordinating communication and supporting compliance with insurer, regulatory and company requirements

Claims Administration

Claims Validation & Documentation

TPA, Insurer & Service Provider Liaison

Client Communication & Customer Service

Claims Resolution

Client Retention

Referral Generation

Customer Feedback & Surveys

Query & Complaint Resolution

Compliance & Risk Management

Reporting & Administration

Required skills & competencies

• •Self-motivated with a consistently positive approach
• •Dynamic individual who is able to multi-task
• •Flexible (adapts easily to change)
• •Ability to deal with staff on all levels
• •Ability to establish, build, maintain and manage sound interpersonal relationships on both a verbal and written level (both internally & externally)
• •Strong customer service orientation
• •Able to work well in a team and/or individually
• •Attention to detail and accuracy
• •Commitment to Treating Customers Fairly (TCF) principles

Matric

• FAIS and RE compliant (mandatory or advantageous
• 3 - 5 years short term insurance experience in Personal Line Claims is mandatory
• Computer literate (Microsoft Office Suite)
• Experience working on Cardinal C360 and insurance administration systems (advantageous)