Claims Administrator

3 days ago


Johannesburg, Gauteng, Saudi Arabia PPS Full time

Job Advert Summary

Co-ordinate and assist with the administrative aspects of the overall claims process support for personal lines and commercial claims. Must have the ability to process in all facets of the Short Term Claims department and resolve queries from start to end. Delegate authority to manage the process and resolve any conflict between various role players internally and externally. Administer duties correctly and efficiently within the specifications of PPS Short-Term Insurance Company's policy terms and conditions.

Minimum Requirements

  • Education: NQF Level 4: Grade 12

Experience:

  • Experience in an claims administration environment.
  • Experience in the policy administration environment would be beneficial.
  • Call Centre experience would be beneficial to assist with telephonic enquiries.

Knowledge and Skills:

  • Strong communication skills written & verbal.
  • Strong customer service skills.
  • Service driven, with a focus on accuracy and quality of information delivered within service levels.
  • Strong attention to detail.
  • A strong work ethic and a drive to exceed expectations.
  • Strong analytic and problem-solving skills.
  • Adaptability to different stakeholders, audiences, and environments.
  • Computer literate Microsoft Suite

Competencies:

  • Adapting and responding to change.
  • Be solution driven and take accountability and responsibility of own work.
  • Persuading and influencing.
  • Deciding and Initiating Action.
  • Collaboration.
  • Coping with pressure.

Duties and Responsibilities

Key Responsibilities

  • Assist in the processing of claim payments, settlements, and reimbursements. Coordinate with accounting and finance departments to ensure accurate and timely disbursement funds to policyholders or third-party claimants.
  • Customer Service and Support Provide exceptional customer service to policyholders throughout the claims process.
  • Co-ordination and support between all role players – internal and external.
  • General administration assistance required in efficiently and timeously processing of claims.
  • Claim Complaints handling and resolution.

Process optimization and efficiencies

  • Duties include working with cross-functional teams to deliver exceptional service to all intermediaries/members as set out in the relevant service level agreements.
  • Combat insurance fraud by ensuring strict compliance to mandates, set procedures, philosophies and Company rules and regulations.
  • Uphold all service excellence principals as communicated by management.

Stakeholder Management

  • Build and maintain relationships with internal and external stakeholders.
  • Collaborate effectively with peers to achieve business results

  • Claims Officer

    2 weeks ago


    Johannesburg, Gauteng, Saudi Arabia Property Practitioners Regulatory Authority Full time

    OVERALL RESPONSIBILITYThe Claims Officer is responsible for receiving, investigating and facilitating the consideration of claims lodged against the PPRA'S Fidelity Fund in order to have valid claims approved, reduce fraudulent claims against the fund and assist in recoveriesMINIMUM REQUIREMENTS Bachelor or Laws LLB degree. Admission as attorney or advocate...

  • Claims Officer

    1 month ago


    Johannesburg, Gauteng, Saudi Arabia Property Practitioners Regulatory Authority Full time

    OVERALL RESPONSIBILITYThe Claims Officer is responsible for receiving, investigating and facilitating the consideration of claims lodged against the PPRA'S Fidelity Fund in order to have valid claims approved, reduce fraudulent claims against the fund and assist in recoveriesMINIMUM REQUIREMENTS Bachelor or Laws LLB degree. Admission as attorney or advocate...


  • Johannesburg, Gauteng, Saudi Arabia Santam Insurance Full time

    What will you do?This career opportunity is available at SHA Risk Specialists a division of Santam for a Claims Specialist: Casualty Claims, who will be based in Johannesburg: Illovo.What will make you successful in this role?Claims Practice Management Attend and manage all aspects related to a portfolio of specialist claims such as claims registration, case...


  • Johannesburg, Gauteng, Saudi Arabia Vodafone Global Enterprise Full time

    Role Purpose/Business Unit:As a Senior Claims Assessor, you will play a crucial role in evaluating and processing Death, Critical illness, Disability and Incapacity claims. Your primary responsibility will be to assess the validity of claims and ensure that they meet the stipulated criteria for pay-out. This role requires a keen attention to detail,...


  • Johannesburg, Gauteng, Saudi Arabia Road Accident Fund Full time

    Road Accident Fund: Claims Internship Programme 2022Applications are invited for the Claims Operations Internship for unemployed graduates between the age of 18 and 35. The Internship program will run for a period of eighteen (18) months. Reference Number: CI JHB Responsibilities:Work based exposure may include any of the following:Direct Claims – Mobile...


  • Johannesburg, Gauteng, Saudi Arabia ManpowerGroup South Africa Full time

    Job Summary The main purpose of the Claims Specialist's role is to validate and administrate a client's claim following a fortuitous event. The claims specialist will be responsible for various Non-Motor Claims. Claims settlement determinations are made in accordance with Standard Operating Procedure, claims guidelines, the specialist own mandate, and the...


  • Johannesburg, Gauteng, Saudi Arabia ManpowerGroup South Africa Full time

    Job Summary The main purpose of the Claims Specialist's role is to validate and administrate a client's claim following a fortuitous event. The claims specialist will be responsible for various Non-Motor Claims. Claims settlement determinations are made in accordance with Standard Operating Procedure, claims guidelines, the specialist own mandate, and the...


  • Johannesburg, Gauteng, Saudi Arabia Trafalgar Property and Financial Services Full time

    Purpose & objectives of the role:Registration and processing of Insurance ClaimsAccurate and timeous processing of new claimsAppointing of contractorsLiaising with owners & portfolio teamsFollow up and feedback provided to clientsPayment of claimsEnsuring a smooth claims process been adhered to at all times, with quick turnaround timesRole Scope, activities...

  • Claims Negotiator

    1 month ago


    Johannesburg, Gauteng, Saudi Arabia Ellahi Consulting Full time

    Core purpose of the role: To settle third party claims/recover from third parties so as to limit expenses and contribute positively to the profitability of the organisation.About the organisation:Work with driven and focused individuals, in a beautiful and harmonious office environment, 5 kilometers from OR Tambo International Airport 5 days a week.Multiple...


  • Johannesburg, Gauteng, Saudi Arabia Roche Full time

    Your OpportunityLogistics Claims Management: processing returns by receiving the notification, identifying the solution, securing authorization to proceed and implementing. Resolving abnormal returns by identifying the issue and implementing the corrective action and updating the system and facilitating the credit movement of the stock.Cost Management and...


  • Johannesburg, Gauteng, Saudi Arabia Marvel Placement Consultant Full time

    Minimum Requirements:Matric.Essential: FAIS qualification.Essential: Regulatory Exams: RE5.Minimum of 5 years of claims experience.Experience with relevant Claims Systems Cardinal 360, CIMS or FlexiProficient in Microsoft Office and Advanced Excel.Knowledge of insurance practices, markets, and competitors.Binder experience.Roles and Responsibilities:Claims...


  • Johannesburg, Gauteng, Saudi Arabia Marvel Placement Consultant Full time

    Minimum Requirements:Matric.Essential: FAIS qualification.Essential: Regulatory Exams: RE5.Minimum of 5 years of claims experience.Experience with relevant Claims Systems Cardinal 360, CIMS or FlexiProficient in Microsoft Office and Advanced Excel.Knowledge of insurance practices, markets, and competitors.Binder experience.Roles and Responsibilities:Claims...


  • Johannesburg, Gauteng, Saudi Arabia GIBB Engineering and Architecture Full time

    DescriptionGIBB's multi-award-winning Integrated Infrastructure WIIG Sector provides the roots for communities using innovative and sustainable engineering design, urban planning, and advisory services. Here you will find an environment conducive to helping you make the most of your abilities and skills.This Sector is looking for another talented...


  • Johannesburg, Gauteng, Saudi Arabia Value Logistics Full time

    Purpose of the JobTo offer the Company's Express services to potential clients and secure new business.Payroll ProcessingProcessing of all salary input and monthly wagesEnsure to query excessive overtime, Business km travel claims, or any deductions relating to renting a vehicleEnsure all earnings and deductions are authorised by the BU Manager.Ensure any BU...


  • Johannesburg, Gauteng, Saudi Arabia International Treatment Preparedness Coalition (ITPC) Full time

    ITPC: Accounting and Administrative Internship Programme 2022The main function of the Accounting and Administrative Intern is to assist ITPC Corporate Support Service Team with various generalist accounting, finance, and administrative responsibilities. The Intern will gain exposure to the day-to-day processes which will include Accounts Payable, Procurement...


  • Johannesburg, Gauteng, Saudi Arabia Hollard Insurance Full time

    Job Advert SummaryHello... an exciting new opportunity has just become available in our Insure Operations, Claims Area. We are looking to recruit a Claims Quality Assurance specialistCreate operational efficiencies in utilisation of management information systems, data management and reporting. Develop statistical information reporting formats and...

  • Customer Resolution

    2 weeks ago


    Johannesburg, Gauteng, Saudi Arabia Hollard Insurance Full time

    Job Advert SummaryTo be part of the team that deals with various levels of complaints that have been escalated from the ombudsman office or by customers and/or brokers requesting adjudication on internal complaints as well as level 1 complaints. Complaints are received in writing from the ombudsman office and/or customers and brokers and these complaints are...

  • Customer Resolution

    1 month ago


    Johannesburg, Gauteng, Saudi Arabia Hollard Insurance Full time

    Job Advert SummaryTo be part of the team that deals with various levels of complaints that have been escalated from the ombudsman office or by customers and/or brokers requesting adjudication on internal complaints as well as level 1 complaints. Complaints are received in writing from the ombudsman office and/or customers and brokers and these complaints are...


  • Johannesburg, Gauteng, Saudi Arabia Johannesburg Water Full time

    PURPOSETo attend to and oversee all activities of the Meter Reading Radex HandHeld System and MRQC work orders for Meter Reading Department. Upload and download files and file transfer protocols. Customizing reports and highlight exceptions and discrepancies with regards to inaccuracy in meter reading.KEY RESPONSIBILITIESEnsure that account queries are...


  • Johannesburg, Gauteng, Saudi Arabia NMG Benefits Full time

    Role OverviewThe Retirement Fund Quality Assurer is responsible for the checking, processing, and auditing of specific tasks and processes. The role is supporting the management team to meet service level agreements and mitigating risk.Key Performance ObjectivesObjectives:The checking and processing of the following tasks not limited to theseinvestments and...