Administration-Jobs in Südafrika

JHB-DDT -1

Our globally recognised client in Randpark Ridge is looking for a skilled Claims Analyst to spearhead interactions with clients, brokers, and insurers, ensuring seamless processing and resolution of claims.

Please apply if you have at least 3 years' experience with the full life cycle of claims.

1. Handle claims as per delegated claims portfolio from cradle to grave.
2. Daily Administration – Register new claims, ensure cover is in place, and the correct excess is applied.
3. Ensure all documents are accurately saved to the correct claim or policy file, and update statuses throughout the claim's lifecycle.
4. Add and update estimates throughout the claim lifecycle, referring to the "maximum probable loss" theory.
5. Liaise with the claims manager to establish your claims allocation and prioritize claims.
6. Manage the outstanding claims list to expedite finalization and improve broker satisfaction.
7. Handle broker queries via telephone and email to limit complaints.
8. Communicate effectively with internal stakeholders within SLA or treaty requirements.
9. Ensure claims are finalized within the agreed SLA period.
10. Assess claims by reviewing reports, assessments, digital images, or received documents.
11. Proactively identify fraudulent cases and recovery opportunities, acting accordingly.
12. Identify salvage potential proactively and act upon it.
13. Understand legal liability considerations in claims.
14. Decide on settlement recommendations or refer to the Claims Manager.
15. Liaise with internal departments such as Underwriting, Assessing, and Legal for policy interpretation.
16. Manage broker expectations and ensure timely, accurate communication.
17. Report all claims to the holding company and ensure compliance with treaty specifications.
18. Ensure payments are correctly raised to the beneficiaries.
19. Ensure new beneficiaries complete and return the Beneficiary Form; save completed forms and BEE Certificates appropriately.
20. Self-manage and complete allocated emails and diaries daily.
21. Save all correspondence related to claims promptly and accurately.
22. Send daily statistics to the line manager.

• Completed Matric
• Completed RE5 Regulatory Examination
• At least 3 years' experience in claims
• Own transport and valid driver's license
• Clear criminal and credit checks
• Reliable individual with sober habits

R 25,000 - R 30,000 Monthly