Claims and Policy Administrator - Johannesburg, South Africa - RJPersonnel

RJPersonnel

Verified Company

Johannesburg, South Africa

1 week ago

Posted by:

Thabo Mthembu

beBee Recruiter

2years

Ensure that payment process is in line with legislation (Approved benefit / Unapproved benefit nomination of beneficiary form or estate late payment)
Ensure all claims communication is clear, acknowledgement done within 24hrs and that clients/claimants are kept up to date during the claims process
Ensures that standards are maintained in accordance with processes, procedures, reinsurance treaties, administration agreements, regulatory requirements and service level agreements.
Preparing and issuing of standard monthly client claim reports within SLA for clients, brokers or Third Party Administration meetings
Preparing claims data or report to admin team on request (for termination process)
Ensures that workflow system & daily production stats are maintained and always updated.
Participates in various meetings and contributes to the discussions and decisions of the team and department from a servicing strategy perspective.
Maintain good relationships with all stakeholders
Resolve queries and complaints within SLA
As need, follow the Exgratia claims process by preparing requests with information and evidence for committee
To be involved with system testing
Assist with project work, processes and functions for operational team (when required), Storm UAT testing, POPI, FICA, etc.
Annually successfully completes Regulatory compulsory training on Learnovate (

FICA :
Anti Money Laundering Awareness Training and Financial Crime Risk Management (FCRM))

As and when attends PRODUCT TRAINING and completes courses on E-LEARNING
Assists management to control the costs of running the department by not abusing the use of company assets such as stationery and telephones, and by finding alternative methods which increase efficiencies or reduce costs.

Qualifications and Experience:

Minimum of Grade 12 (Matric)
Strong understanding of the financial services industry and a minimum of 2 years insurance experience
Minimum of 2 years administration experience in a claims and policy administration environment
Very good organisational skills
PC Skills (Word, Excel, Outlook)
Excellent interpersonal skills
Excellent communication (written and verbal)
Customer Service Skills