Claims Processor

Placements24; Soweto; On-site; ZAR 180,000 - 240,000; Full time

Benefits offered by this job

Medical aid

Retirement savings plan

On-the-job training

Supportive team environment

Stable employment

Job summary

Placements24 in Soweto is seeking a meticulous Claims Processor to join our client’s operations team. The role focuses on accurate and timely processing of insurance claims, with careful review of documentation and validation of details.

You will verify policy coverage, collect required documents, input data, and communicate claim statuses to policyholders and internal teams. A high school diploma and experience in claims processing are preferred; strong MS Word/Excel skills are essential.

Qualifications

• High school diploma or equivalent; further education is an advantage.
• Previous experience in claims processing or a similar administrative role.
• Basic understanding of insurance principles and terminology.

Responsibilities

• Process various types of insurance claims accurately and in accordance with company guidelines.
• Verify policy coverage and collect all necessary documentation for claim assessment.
• Input claim data into the system and maintain updated records.
• Communicate with policyholders, claimants, and internal departments regarding claim status.
• Identify and flag potentially fraudulent claims or discrepancies for further investigation.
• Adhere to established timelines for claim processing to ensure efficiency.

Skills

Data entry

Attention to detail

Time management

Organizational skills

Communication

Education

High school diploma

Tools

Microsoft Word

Microsoft Excel

Job description

About the Role

Our client is seeking a meticulous and efficient Claims Processor to join their operations team in Soweto. In this vital role, you will be responsible for the accurate and timely processing of insurance claims, ensuring that all necessary documentation is reviewed and validated. Your attention to detail and understanding of claims procedures will contribute significantly to the smooth functioning of the claims department and customer satisfaction. This is an office-based position, allowing for direct collaboration and support within the Soweto community.

Key Responsibilities

• Process various types of insurance claims accurately and in accordance with company guidelines.
• Verify policy coverage and collect all necessary documentation for claim assessment.
• Input claim data into the system and maintain updated records.
• Communicate with policyholders, claimants, and internal departments regarding claim status.
• Identify and flag potentially fraudulent claims or discrepancies for further investigation.
• Adhere to established timelines for claim processing to ensure efficiency.

Requirements

• High school diploma or equivalent; further education is an advantage.
• Previous experience in claims processing or a similar administrative role.
• Basic understanding of insurance principles and terminology.
• Strong data entry skills and high attention to detail.
• Proficiency in Microsoft Office Suite, particularly Word and Excel.
• Good organizational and time management abilities.

Benefits

• Competitive annual salary with regular performance reviews.
• Comprehensive medical aid and retirement savings plan.
• On-the-job training and opportunities for skill development.
• A supportive team environment focused on operational excellence in Soweto .
• Stable employment with a reputable insurance provider.