Senior Clerk: Claims

AVBOB South Africa; Centurion; On-site; ZAR 200 000 - 280 000; Full time

Job summary

A leading South African insurance company is seeking a detail-oriented Senior Clerk to join their claims team. The successful candidate will prepare claim forms, verify information, and handle client inquiries. Responsibilities include processing claims, determining coverage, and managing correspondence. This position offers a competitive compensation package in a well-established organization that values employee development and rewards excellence.

Benefits

Competitive compensation package

Employee development opportunities

Qualifications

• Experience in claims processing and handling inquiries.
• Strong attention to detail and ability to manage multiple tasks.
• Excellent communication skills, both written and verbal.

Responsibilities

• Prepare claim forms and verify information.
• Handle client inquiries and determine policy coverage.
• Process payments and calculate claim amounts.
• Compile daily statistics of finalized claims.

Skills

Detail-oriented

Client relationship management

Claims processing

Investigation skills

Job description

We are looking for a detail-oriented Senior Clerk to join our claims team. You will be responsible for preparing claim forms, verifying information, and corresponding with agents and beneficiaries. You will also handle client inquiries, review policies, determine coverage, calculate claim amounts, and process payments.

You will be working for a well-established company with strong values. In exchange for your services, you will receive a competitive compensation package. You will be joining an organisation that values employee development and rewards excellent performance.

Your Responsibilities Will Include The Following

Receive claim and prepare documentation

• Receive, investigate and intimate all claims daily, differentiate between new claims and other correspondence
• Determine status of policy and whether the deceased enjoys cover, verify and adjust policy details where necessary
• Investigate premium, policy and claim history
• Open and process claims according to claims procedure, and refer fully completed claims to underwriter
• Request additional information from Branch and Client by way of phoning, sending e-mail or fax or sms or 702 Letter
• Complete all claims within twenty-four hours
• Investigate complaints received and report back to all stakeholders

Receive and complete daily correspondence

• Receive daily loose correspondence, match with file and refer to underwriter
• Receive diary letters daily, match to file and send original to client
• Send all claim related correspondence for scanning

Handle Complex Enquiries From Clients, Branches And Other Departments

• Attend to all written and verbal enquiries from clients, branches and other departments
• Compile claim quotations on the system

Cheque requests

• Compile cheque requisitions and write backs
• Receive cheques from finance department and send out with necessary letters
• Attend to all cheque stop payments or reversals within 3 days of receipt
• Process ex gratia payments on the day of receipt

Compile statistics and perform ad hoc duties

• Compile daily statistics of finalized claims
• Perform ad hoc duties as requested by supervisor / Management

Accident Benefit

• Process accident benefit
• Request for outstanding requirements
• Send to underwriter when documents are received