- Provide efficient, accurate and customer-focused administrative support throughout the claims lifecycle
- Act as the primary liaison between clients, the outsourced Claims Administrator (TPA), insurers, assessors and internal stakeholders
- Monitor claim progress and ensure claims are progressed within agreed service levels
- Maintain accurate records
- Resolve routine queries
- Coordinate communication
- Support compliance with insurer, regulatory and company requirements
- Validate claims and documentation
- Liaise with TPAs, insurers and service providers
- Provide client communication and customer service
- Support claims resolution, client retention and referral generation
- Gather customer feedback and conduct surveys
- Resolve queries and complaints
- Support compliance and risk management
- Complete 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, ensuring compliance with regulatory requirements, and providing exceptional customer service. Proficient in coordinating communication among stakeholders and maintaining accurate records to support claims resolution and client retention.
Highest-signal resume keywords
- Short Term Insurance Experience
- Claims Administration
- Customer Service
- FAIS Compliance
- Microsoft Office Suite
ATS Optimization Keywords
Hard Skills
- Claims Validation
- Record Maintenance
- Query Resolution
- Reporting
- Risk Management
Soft Skills
- Customer-Focused
- Communication
- Problem-Solving
Certifications & Qualifications
- FAIS Compliance
- RE Compliance
Industry Keywords
- Claims Lifecycle
- Client Retention
- Regulatory Compliance
- Service Levels
- Feedback Gathering
Tools & Technologies
- Cardinal C360
- Insurance Administration Systems