Claims Operations Specialist

Pps Recruitment; Gauteng; On-site; ZAR 300 000 - 420 000; Full time

Job summary

A recruitment firm in South Africa is seeking a candidate to coordinate and assist with administrative aspects of the claims process. The role requires strong communication and customer service skills, and the ability to resolve queries efficiently. The ideal candidate should have a Grade 12 education and experience in claims administration, with a focus on delivering exceptional service to policyholders.

Qualifications

• Experience in a claims administration environment.
• Experience in the policy administration environment would be beneficial.
• Call Centre experience would be beneficial to assist with telephonic enquiries.

Responsibilities

• Assist in the processing of claim payments, settlements, and reimbursements.
• Provide exceptional customer service to policyholders throughout the claims process.
• Combat insurance fraud by ensuring strict compliance to mandates and procedures.
• Handle claim complaints and resolutions.
• Uphold service excellence principles as communicated by management.

Skills

Strong communication skills (written & verbal)

Strong customer service skills

Strong attention to detail

Strong analytic and problem-solving skills

Computer literate (Microsoft Suite)

Education

NQF Level 4: Grade 12

Job description

A recruitment firm in South Africa is seeking a candidate to coordinate and assist with administrative aspects of the claims process. The role requires strong communication and customer service skills, and the ability to resolve queries efficiently. The ideal candidate should have a Grade 12 education and experience in claims administration, with a focus on delivering exceptional service to policyholders.