Insurance Claims Processor

Placements24; LegKraal Gate; Hybrid; ZAR 180,000 - 260,000; Full time

Benefits offered by this job

Health and retirement benefits

Hybrid work model

On-the-job training and professional发展

Job summary

Placements24 is seeking an efficient Insurance Claims Processor for the Mahikeng area to ensure accurate and timely processing of insurance claims. You will review claim forms, verify policy coverage, input data into the claims system, and initiate payments or denials in line with company procedures.

This role offers hands-on experience in the claims handling process within a supportive team, contributing to overall departmental efficiency.

Qualifications

• Minimum 1 year of experience in claims processing or similar administrative role.
• Strong data entry skills with high accuracy.
• Proficiency in using Microsoft Office and claims processing software.
• Good understanding of basic insurance terminology and policy types.
• Effective organizational and time management skills.
• Excellent written and verbal communication skills.

Responsibilities

• Receive, review, and verify insurance claim forms and documentation for completeness and accuracy.
• Input claim data into the company's claims management system.
• Check policy details and coverage information to ensure claims are valid.
• Process approved claims by initiating payment or issuing denial letters according to guidelines.
• Communicate with policyholders, agents, and internal departments to resolve discrepancies.

Skills

Data entry

Attention to detail

Microsoft Office

Claims processing software

Insurance terminology

Organizational skills

Communication skills

Tools

Microsoft Office Suite

Claims processing software

Job description

About the Role

Our client is looking for an efficient and detail-oriented Insurance Claims Processor to join their team in Mahikeng . This role is vital for ensuring the accurate and timely processing of insurance claims, playing a key role in customer satisfaction. You will be responsible for reviewing claim forms, verifying policy coverage, inputting data into the claims system, and initiating payments or denials according to company procedures. This position offers a great opportunity to gain valuable experience in the claims handling process within a dynamic and supportive work environment, contributing to the overall efficiency of the claims department.

Key Responsibilities

• Receive, review, and verify insurance claim forms and supporting documentation for completeness and accuracy.
• Input claim data into the company's claims management system.
• Check policy details and coverage information to ensure claims are valid.
• Process approved claims by initiating payment or issuing denial letters according to established guidelines.
• Communicate with policyholders, agents, and internal departments to resolve discrepancies or gather additional information.
• Maintain accurate and organized electronic claim files.

Requirements

• A minimum of 1 year of experience in claims processing or a similar administrative role, preferably in the insurance sector.
• Strong data entry skills with a high degree of accuracy and attention to detail.
• Proficiency in using computer systems, including Microsoft Office Suite and claims processing software .
• Good understanding of basic insurance terminology and policy types.
• Effective organizational and time management skills.
• Excellent written and verbal communication skills.

Benefits

• Competitive salary and performance-based incentives.
• Comprehensive health and retirement benefits package.
• On-the-job training and opportunities for professional development.
• A hybrid work model that balances office collaboration with personal flexibility.
• Supportive team environment with opportunities for career growth.