Administrator

AtripleA recruitment & temps; Pretoria; On-site; ZAR 180,000 - 240,000; Full time

Job summary

A recruitment agency is seeking an Administrator for IL Claims Assessment to manage life and funeral insurance claims. The successful candidate will be responsible for processing claims, verifying information, and ensuring timely payouts. Requirements include a Matric qualification, NQF 4 in Insurance, and at least 2 years of life insurance claims experience. Strong proficiency in MS Office is required. The role is based in Pretoria, Gauteng, South Africa. Interested applicants should send their CV and latest pay slip to the provided email address.

Qualifications

• Minimum 2 years of experience in life insurance claims.
• Intermediate proficiency in MS Office applications.
• Strong attention to detail and accuracy.

Responsibilities

• Assessing and processing life and funeral claims.
• Verifying premiums and claims related information.
• Facilitating communication with stakeholders regarding claims.
• Act as second validator and provide feedback to the Section Leader.
• Compile monthly statistics and finalised claims for records.

Skills

Detail-oriented

Claims processing

Communication

Problem-solving

Education

Matric

NQF 4 in Insurance (advantage)

Tools

MS Office (Word, Excel, PowerPoint)

Job description

Our client in the Insurance industry is looking for an Administrator: IL Claims Assessment

We are seeking a detail‑oriented professional to manage life and funeral insurance claims, ensuring accuracy and timely processing.

Key responsibilities

1. Assessing and processing of life and funeral claims

• Process funeral and life claims and prepare for claims approval within 48 hours of receipt.
• Verify premiums paid on the system prior to assessing claims.
• Verify deceased and beneficiaries against the main policy on the system.
• Confirm the policy holders relationship to the deceased.
• Liaise with re‑insurers where necessary on life cover policies below R300 000.00.
• Refer suspicious fraudulent claims to Specialist administrator.
• Discuss complex claims with in‑house professional advisor and consultants.
• Follow up timeously on all outstanding claims.
• Liaise with relevant stakeholders on outstanding and incorrect ID numbers and where the person is covered on the application form but does not exist on the system.
• Liaise with Client services where the deceased died before the policy became inactive; activate the policy prior to assessing.
• Identify disputes and complaints of complex claims.
• Recommend a solution to Senior Manager where a claim arises a day before the 6‑month waiting period expires.
• Update AIMS notes on system.
• Act as 2nd validator on captured and authorised claims.
• Provide feedback on follow‑up claims to Section leader.
• Forward a spreadsheet of all finalised claims to Section Leader.

2. Claims pay‑out

• Confirm status of the claim if it is approved or declined.
• Apply the penalty formula where the age of the deceased differs with the one on the system.
• Recommend decline/payment of claims.
• Double‑check consistency of banking details attached to the claim and those on the system.
• Forward the claim to Manager for payment.
• Check the finance list and sign off.

3. Reconcile information received, processed and finalised

• Compile monthly individual statistics.
• Compile all branch registers month end (Death).
• Present challenges experienced and solutions taken to resolve them.

Requirements

• Matric.
• NQF 4 in Insurance (advantage).
• At least 2 years of life insurance claims experience.
• Intermediate proficiency in MS Office Word, Excel, and PowerPoint.

Send your CV and latest pay slip to [e-mail]

ATripleA Recruitment and Temps
www.aaaa.co.za

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