Claims & Documentation Coordinator

Rand Mutual - RMA; Gqeberha; On-site; ZAR 180,000 - 240,000; Full time

Job summary

Rand Mutual Assurance seeks a diligent Claims Administrator to capture claims, follow up on documents, and index files. You will keep stakeholders updated via email, phone, and SMS while handling branch queries and walk-in customers in line with the Service Level Agreement.

The role also covers day-to-day branch administration, office planning, and backup support for the team as needed.

Qualifications

• Matric/Grade 12 required.
• NQF Level 5 Higher Certificate in business admin/commerce preferred.
• 2–3 years clerical, scanning and indexing experience.
• Data-entry accuracy and typing speed required.
• Knowledge of admin procedures and MS Office.
• Insurance or Medical Aid exposure is advantageous.
• Strong customer service principles and practice.
• Deadline-driven with attention to detail.
• Experience with claims processing or related area is a plus.

Responsibilities

• Acknowledge claims and classify injuries; guide the process.
• Explain claims process to claimants and employers per policy.
• Route claims to relevant departments as needed.
• Collect information, send follow-ups on missing documents.
• Prepare, scan and index documents per procedures and SLA.
• Organise scanned docs on the local network and ensure legibility.
• Check for duplicates and validate employer eligibility.
• Assist with ad hoc duties and provide team backup.
• Capture Temporary Total Disablement for payment.
• Resolve customer inquiries and escalate priorities as required.
• Support Contact Centre during overflow or downtime.

Skills

Clerical experience

Data entry

Typing skills

MS Office

Customer service

Deadline driven

Insurance experience

Claims knowledge

Education

Matric Certificate/Grade 12

NQF Level 5 Higher Certificate in business admin or commerce

Tools

MS Office Suite

Job description

Rand Mutual Assurance seeks a diligent Claims Administrator to capture claims, follow up on documents, and index files. You will keep stakeholders updated via email, phone, and SMS while handling branch queries and walk-in customers in line with the Service Level Agreement.

The role also covers day-to-day branch administration, office planning, and backup support for the team as needed.