Claims Consultant (Afrikaans)

Telesure Investment Holdings (TIH); Johannesburg; On-site; ZAR 150,000 - 190,000; Full time

Job summary

TIH in Johannesburg is seeking a diligent Claims Administration Assistant to obtain information from insured or designated persons for settling claims with insurers. You will handle administration, correspondence, document preparation, and client support to ensure accurate, timely settlements.

The role requires Grade 12 or SAQA equivalent and the ability to work unsupervised, with 13 months to 3 years’ experience in claims or similar environments.

Qualifications

• Grade 12 or SAQA Accredited Equivalent (essential)
• Experience as an practitioner able to work unsupervised (13 months to 3 years)

Responsibilities

• Obtain information from insured or designated persons to settle claims with the insurance carrier.
• Produce, update and provide best practice support to customers on the claims administration process and related systems.
• Respond to routine requests via telephone or email and edit templates for customised responses.
• Create, organise and maintain files containing policy-related correspondence.
• Prepare and manage claim documentation for customers.
• Organise own work schedule and coordinate with support services to complete tasks.
• Carry out routine policy-related tasks to support policy development and implementation.
• Assist internal and external clients with standard activities and provide support to teams.
• Produce accurate reports by collecting data from standard sources and inputting into standard formats.

Job description

Join TIH, home to some of South Africa’s leading financial service providers, and grow your career while being part of an organisation with purpose.

Job Purpose

Obtain information from insured or designated persons for purpose of settling claim with insurance carrier.

Responsibilities

Administration

Produce, update and provide best practice support to customers on the claims administration process and other departmental systems, in line with claims policy, rules and SLAs.

Correspondence

Respond to routine requests using telephonic conversation or emails and to more unusual requests by editing templates to create customised responses.

Document Management

Create, organise and maintain files containing the correspondence relating to policies and matters.

Document Preparation

Prepare and manage claim documentation for customers.

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.

Policy Development & Implementation

Support others by carrying out routine policy-related tasks.

Client & Customer Management (External)

Help manage clients by carrying out standard activities and providing support to others.

Client & Customer Management (Internal)

Help manage internal 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.

Education

Grade 12 or SAQA Accredited Equivalent (essential)

Experience

Experienced practitioner able to work unsupervised (13 months to 3 years); Very limited (0 to 3 months)