Claims Auditor

Telesure Investment Holdings (TIH); Johannesburg; On-site; ZAR 180,000 - 240,000; Full time

Job summary

Telesure Investment Holdings (TIH) is seeking an organised Insurance Claims Administrator in Johannesburg. The role focuses on reviewing vehicle accident invoices, quantifying claim costs and supporting claims processing with data-driven insights.

Ideal candidates have 1–3 years in financial services, Audatex experience, and familiarity with policy wording. This position requires meticulous document handling and proactive client support.

Qualifications

• Matric / Grade 12 is Essential.
• 1-3 years Financial Services experience is Essential; Audatex experience is Essential.
• Panel beating and vehicle assessing experience is advantageous.

Responsibilities

• Audit and Review Vehicle Accident Invoices.
• Carry out data gathering and processing activities to support claims administration, including initial review to identify information needed and allocate cases to claims specialists.
• Review and quantify claim costs from MBR invoices; compare costings, quotes and invoices; assess marked-up, excesses and payable amounts.

Skills

Attention to detail

Data analysis

Communication

Organisation

Education

Matric / Grade 12

Tools

Audatex

MS Office

Job description

Job Purpose

To review and correct documents and invoices coming in from a MBR and quantify the claim cost. To confirm that all items claimed for was approved by the insurer and assessor.

Responsibilities

• Audit and Review Vehicle Accident Invoices


• Carry out a range of information gathering and data processing activities to support the administration of insurance claims, including an initial review of claims documentation to identify further information needed and\u2014or to allocate cases to the appropriate claims specialists\u2014investigators.


• Invoicing and Costing: To review and correct documents and invoices coming in from a MBR and quantify the claim cost. Compare costings, quotes and invoices received from MBR. Quoted amounts, marked-up amounts, excesses, payable amounts and estimates on the system.


• Insurance Policy Administration: Assist with accident assessment and repair processes. Have a basic understanding/experience of policy wording.


• Client & Customer Management (External): Help manage clients by carrying out standard activities and providing support to others.


• Data Collection and Analysis: Produce accurate reports for others by collecting data from a variety of standard sources and inputting it into standard formats.


• Administration: Produce, update and provide best practice support on MS documents, databases and other departmental systems to support the work of more senior colleagues.


• Work Scheduling and Allocation: Organise own work schedule in order to get the job done, coordinating with support services and assigning short-term tasks to others if necessary.


• Document Management: Create, organise and maintain files containing the correspondence and records of a senior colleague.


• Document Preparation: Prepare routine letters, memoranda, reports and similar documents following detailed instruction. This is likely to involve using the full range of functions within standard office software.


• Insights and Reporting: Extract simple/automatic data in various forms (graphs, charts, etc.) to include in reports. Report on audits that have been completed or are still in progress.

Education

• Matric / Grade 12/ SAQA Accredited Equivalent (Essential)

Experience

• 1-3 years Financial Services industry experience (Essential); Experience with Audatex (Essential); Panel beating and vehicle assessing experience (Advantageous)