Temp Claims Administrator Job at Lesaka Technologies

Role Purpose

• The Claims Administrator is responsible for the efficient administration, assessment, and processing of insurance claims, ensuring valid claims are settled accurately and within agreed service standards.
• The role also provides ad hoc support to the broker channel by serving as a liaison for broker-related enquiries, reporting, and policy administration activities.

Key Requirements 

• Education and specialist skills
• Matric
• RE5
• Experience of between 1 and 3 years will be an advantage

Key Responsibilities

Claims Administrator

• Assess and validate insurance claims in accordance with company policies and procedures.
• Process new claim notifications and ensure all required documentation is obtained.
• Collect, verify, and accurately capture claim information.
• Analyse claims and determine requirements for assessment and settlement.
• Maintain accurate and complete claim records in line with departmental standards.
• Handle claim-related complaints and queries professionally and timeously.
• Build and maintain positive relationships with internal and external stakeholders.
• Ensure fair customer outcomes and deliver service in line with regulatory and company requirements.
• Meet agreed turnaround times and service level standards.
• Broker Liaison (Ad Hoc)
• Serve as the point of contact for broker enquiries, commission statements, and sales reports.
• Provide support on claims-related processes and requirements.
• Maintain broker schedules, records, and databases.
• Issue membership certificates and policy updates upon request.
• Verify the accuracy of broker schedules and premium information.
• Maintain effective relationships with brokers and provide timely support as required.

Key competencies

• Goal oriented
• Computer literate
• Email etiquette
• Data capturing
• Handle pressure
• Conflict handling
• Knowledge of customer services
• Detail orientation
• Organising
• Extra hours
• Numeracy
• Projects administration
• Interpersonal skills
• Decision making
• Level 4 and 5
• Problem solving skills
• Level 4 and 5
• Communication

External

• Customers
• Brokers and partners

Internal

• Team members
• Managers
• Exco members
• Call Centre
• Branches