Claims Quality & Compliance Specialist

Salt Employee Benefits; Gauteng; On-site; ZAR 180,000 - 240,000; Full time

Job summary

Salt EB is seeking a meticulous Claims Administrator for our PSSPF Claims team in Gauteng. You will ensure claims and documents meet standards, support quality assurance and data accuracy, and help resolve client queries to minimise financial risk.

The role focuses on processing readiness, documentation completeness, and collaboration with Front Office and Compliance to uphold service levels and governance.

Qualifications

• Matric/Grade 12 or equivalent.
• Proficient in Microsoft Excel.
• Excellent written and verbal communication in business English.
• Industry knowledge in claims administration or employee benefits.
• Ability to verify information accurately and resolve queries.
• Strong organizational and multitasking skills.

Responsibilities

• Perform quality assurance on claims and related documents.
• Verify claim checklists and forms are complete and signed.
• Ensure data on Everest matches system information and resolve discrepancies.
• Maintain accurate member records and bank details.
• Respond to queries from internal teams and clients within SLA.
• Assist with obtaining outstanding requirements for claims as needed.
• Support team with process improvements and documentation.

Skills

Microsoft Excel

Written and verbal communication

Attention to detail

Teamwork

Education

Matric (Grade 12) or equivalent

Tools

Everest System

Job description

Salt EB is seeking a meticulous Claims Administrator for our PSSPF Claims team in Gauteng. You will ensure claims and documents meet standards, support quality assurance and data accuracy, and help resolve client queries to minimise financial risk.

The role focuses on processing readiness, documentation completeness, and collaboration with Front Office and Compliance to uphold service levels and governance.