Claims Administrator

Discovery Limited; Gauteng; On-site; ZAR 200 000 - 300 000; Full time

Job summary

A prominent financial services company in Gauteng seeks a dedicated professional to manage claims administration and customer queries in a fast-paced environment. You will liaise with clients and professionals to ensure a compassionate claims experience. The role requires Matric and client services experience within life insurance. This position offers the opportunity to contribute to a meaningful service while working towards personal goals in a supportive team atmosphere.

Responsibilities

• Manage telephonic and written correspondence with clients including doctors and solicitors.
• Set up payment of benefit or medical report payments.
• Notify re-assurers regarding details of claims.
• Administer unemployment claims for waiver of premium.
• Prepare documentation for claims.
• Refer claims for management and medical input.
• Capture and report on claims statistics.

Skills

Delivering Results and Meeting Customer Expectations

Coping with Pressure, Setbacks and Time Keeping

Deciding and initiating action

Working with People

Following Instructions and Procedures

Relating and Networking

Problem Solving

Presenting and Excellent Communication Skills

Adapting and Responding to Change

Achieving Personal Work Goal

Education

Matric

1 year client services experience in life insurance

2 years’ experience in a UK Insurance environment

6 months claims administration experience

Intermediate understanding of long term Insurance in a UK environment

Intermediate understanding of Microsoft Office

Job description

About Discovery VitalityLife

Discovery’s core purpose is to make people healthier and to enhance and protect their lives. We seek out and invest in exceptional individuals who understand and support our core purpose, and whose own values align with those of Discovery. Our fast-paced and dynamic environment enables smart, self-driven people to be their best. As global thought leaders, Discovery is passionate about innovating in order to not only achieve financial success, but to ignite positive and meaningful change within our society.

About The VitalityLife Claims Team

At VitalityLife, we are committed to providing a market‑leading claims management service. Our customers are our priority and we are dedicated to supporting them when they need us the most. We are committed to ensuring that compassion and empathy are a fundamental part of the claims experience for our customers.

Key Purpose

To deal with administration and queries relating to the claims process and to communicate further requirements on claims.

Areas Of Responsibility May Include But Not Limited To

• Telephonic and written correspondence with clients, including doctors, claimant, financial advisors, solicitors etc.
• Setting up of payment of benefit or medical report payments.
• Notification to Re‑assurers regarding details of the claims.
• Administration of unemployment claims for waiver of premium.
• Administration and preparation of documentation for claims.
• Referral of claim for to management, forensics, chief medical officer for input.
• Capture and report on claims statistics.

Personal Attributes and Skills

• Delivering Results and Meeting Customer Expectations
• Coping with Pressure, Setbacks and Time Keeping
• Deciding and initiating action
• Working with People
• Following Instructions and Procedures
• Relating and Networking
• Problem Solving
• Presenting and Excellent Communication Skills
• Adapting and Responding to Change
• Achieving Personal Work Goal

Education and Experience

• Matric is essential
• 1 year client services experience within the life insurance industry is essential.
• 2 years’ prior experience within a UK Insurance environment is advantageous.
• 6 month claims administration experience is advantageous
• An intermediate understanding of long term Insurance in a UK environment
• An intermediate understanding of Microsoft Office

EMPLOYMENT EQUITY

The Company’s approved Employment Equity Plan and Targets will be considered as part of the recruitment process. As an Equal Opportunities employer, we actively encourage and welcome people with various disabilities to apply.