Our client, a leader in the transport industry, is seeking an experienced Insurance Claims Clerk to join their team based in Durban. Salary R10 000 - R15 000 depending on experience.
Minimum Requirements
- Grade 12 or equivalent; a diploma or degree in Insurance, Business Administration, or related field is an advantage.
- Basic understanding of insurance products, policies, and claims procedures.
- Strong attention to detail and organizational skills.
- Good communication and interpersonal skills.
- Proficiency in MS Office and claims management systems.
- Ability to work under pressure and meet deadlines.
Main Job Functions
Claims Processing
- Receive, review, and process insurance claims submitted by clients.
- Verify that all required documentation and information are complete and accurate.
- Enter claim data into the company’s claims management system promptly and accurately.
Documentation & Recordkeeping
- Maintain organized and up-to-date records of all claims, correspondence, and supporting documents.
- Ensure confidentiality and secure handling of sensitive client information.
Communication & Customer Service
- Serve as a point of contact for clients regarding the status of their claims.
- Communicate with internal departments, adjusters, and external parties to gather necessary information.
- Respond to client inquiries in a professional and timely manner.
Claims Verification & Investigation Support
- Conduct preliminary checks to verify claim legitimacy.
- Identify discrepancies, missing information, or potential fraudulent claims and escalate to the supervisor.
- Assist claims adjusters in investigations, if required.
Compliance & Reporting
- Ensure all claims are processed in accordance with company policies, procedures, and relevant insurance regulations.
- Prepare and submit claims reports as requested by management.
- Assist with audits and regulatory compliance documentation when required.
Continuous Improvement
- Identify opportunities to improve claims processing efficiency and client experience.
- Stay updated on industry trends, insurance regulations, and company policy changes.