Claims Administrator

Jobtailor; Cape Town; On-site; ZAR 240,000 - 360,000; Full time

Job summary

Jobtailor in South Africa seeks a diligent claims administrator to provide efficient, admin-focused support across the claims lifecycle. You will act as the main liaison between clients, the TPA, insurers and internal teams to keep claims moving within service levels.

The role requires Matric, FAIS/RE compliance, and 3–5 years in personal line short-term insurance. Proficiency in Microsoft Office and Cardinal C360 is preferred to maintain accurate records and support client retention.

Qualifications

• Matric and FAIS/RE compliance preferred or mandatory.
• 3–5 years short-term insurance experience in Personal Line Claims required.
• Proficient with Microsoft Office Suite.
• Experience with Cardinal C360 and insurance administration systems advantageous.

Responsibilities

• Provide efficient, accurate and customer-focused administrative support throughout the claims lifecycle.
• Act as the primary liaison between clients, outsourced Claims Administrator (TPA), insurers, assessors and internal stakeholders
• Monitor claim progress and ensure claims are progressed within service levels
• Maintain accurate claims records
• Resolve routine queries and complaints
• Coordinate communication among clients, TPAs, insurers and internal stakeholders
• Support claims resolution and client retention
• Generate referrals
• Collect customer feedback and conduct surveys
• Support compliance with insurer, regulatory and company requirements
• Perform reporting and administration

Skills

Customer service

Communication

Documentation

Education

Matric

FAIS Compliance

RE Compliance

Tools

Cardinal C360

Microsoft Office

Insurance systems

Job description

Responsibilities

• Provide efficient, accurate and customer-focused administrative support throughout the claims lifecycle
• Act as the primary liaison between clients, outsourced Claims Administrator (TPA), insurers, assessors and internal stakeholders
• Monitor claim progress and ensure claims are progressed within agreed service levels
• Maintain accurate claims records
• Resolve routine queries and complaints
• Coordinate communication among clients, TPAs, insurers, assessors and internal stakeholders
• Support claims resolution and client retention
• Generate referrals
• Collect customer feedback and conduct surveys
• Support compliance with insurer, regulatory and company requirements
• Perform reporting and administration

Requirements

• 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)

Core Competencies

Demonstrates expertise in managing the claims lifecycle with a focus on customer service, compliance, and effective communication among stakeholders. Proficient in maintaining accurate records and resolving queries to support client retention and satisfaction.

Certifications & Qualifications

• FAIS Compliance
• RE Compliance

Industry Keywords

• Claims Lifecycle
• Personal Line Claims
• Client Retention
• Service Levels
• Outsourced Claims Administrator

Tools & Technologies

• Cardinal C360
• Insurance Administration Systems