Claims Processor (Insurance)

AtripleA recruitment & temps; Pretoria; On-site; ZAR 40,914 - 58,272; Full time

Job summary

A recruitment agency is seeking a Claims Processor for a temporary assignment in Pretoria. The ideal candidate will handle claims processing, assist walk-in clients, and reconcile claims information. A Matric qualification and NQF 3 in Insurance are required, along with at least one year of experience in the life insurance sector. This role demands attention to detail, effective communication, and the ability to meet deadlines in a fast-paced environment.

Qualifications

• 1 year of experience in life insurance processing.
• Understanding of claims processes and stakeholder interactions.

Responsibilities

• Process withdrawals and maturity claims efficiently.
• Assist walk-in clients with claims submissions.
• Reconcile claims information and compile reports.

Skills

Claims processing

Client assistance

Attention to detail

Education

Matric

NQF 3 in Insurance

Job description

Clerk: IL Claims Processor_Temporary Assignment

Location: Pretoria

Salary: R36 p.h

Our client in the long term insurance industry is seeking a Claims Processor to process withdrawals and maturity claims.

Responsibilities

• Processing of investment claims:
  • Check if the claimant is a correct claimant on the policy
  • Check if the policy is due to be paid on the particular month
  • Verify if all premiums where received
  • Processing maturity, cash provider, cash back, school fund claims within 48hrs of receipt
  • Prepare for claims approval process
  • Liaise with Section Leader where necessary (disputed claims)
  • Liaise and follow up with relevant stakeholders on outstanding claims
  • Refer dispute claims to Section Leader
  • Update the clients details on the system
  • Update AIMS notes
• Assist walk-in clients:
  • Receive claims from walk-in clients (Funeral, Cash Backs, and Cash Providers, School funds, Life covers, 4sure and Legacy policies)
  • Assist walk-in clients with any claims submission, queries/complaints
  • Submit claims to clerk administrator to register the claims
  • Liaise with branch offices if they will be receiving outstanding documents from the clients who submitted claims at Head Office
• Follow up on outstanding investment claims:
  • Follow- up on outstanding claims documentation/investigation (All old and new claims received)
  • Update AIMS notes and e-mail branches
  • Do bi-weekly follow-ups on the correspondence
  • Give inputs to Section Leader on the finalization of claims without the outstanding document or to defer a claim
• Reconcile information received, processed and finalised
  • Compile monthly individual statistics
  • Compile reports as requested by managers
  • Compiling all branch registers month end (Death & Withdrawals), making sure all branches captures claims correctly, making follow ups on a weekly basis, confirming with all branch managers.
  • Compiling all Head Office Registers (Withdrawals and Maturities).

Requirements

• Matric
• NQF 3 in Insurance
• 1 years' experience life insurance