Our client in the Umhlanga area is recruiting for a Claims Administrator – CPP in the insurance industry.

Responsible for the administration relating to claims processing.

Responsible for managing queries raised by policyholders, business partners and internal stakeholders in relation to claims.

Responsible for intimating claims correctly and accurately.

Responsible for attaching all supporting documents to the claim on CADi.

Responsible to effectively manage e-mails, faxes and other correspondence received to facilitate effective claims processing.

Responsible for managing all telephonic queries in a professional and efficient manner.

Responsible for contacting appropriate parties for outstanding documentation to process the claim.

Responsible for managing overflow inbound telephonic calls received in a professional and efficient manner.

Responsible for confirming the status of the policy on CADi (i.e. the policy is active and premiums up to date).

Responsible to check whether the policy holder has any other policies administered by the company and if so, advise the relevant department of a claim received.

Pro-actively provide feedback to all relevant stakeholders.

Pro-actively escalate all urgent issues and/or queries to the Claims Manager.

Responsible to update CADi accurately to facilitate the quality and completeness of system data.

Responsible for Ad hoc administrative tasks relating to Claims.

Responsible for incorporating the principles of TCF into role outcomes.

  • Matric
  • At least 3 years’ previous, relevant work experience in administration or insurance administration is required.
  • FAIS qualification would be an advantage.
  • Previous experience working in a Claims processing environment would be especially valuable.