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Claims Processor (Insurance) |
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Location: Pretoria | Salary / Range: R36 p.h | Posted On: Sep 08, 2017
Key Skills :
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Qualification :
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Job Function : Permanent
Vacancy :
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Position: Permanent
Job Description:

Clerk: IL Claims Processor_Temporary Assignment

Location: Pretoria

Salary: R36 p.h


Our client in the long term insurance industry in seeking a Claims Processor to process withdrawals and maturity claims.



1.    Processing of investment claims: 

·         Check if the claimant is a correct claimant on the policy

·         Check if the policy is due to be paid on the particular month

·         Verify if all premiums where received

·         Processing maturity, cash provider, cash back, school fund claims within 48hrs of receipt

·         Prepare for claims approval process 

·         Liaise with Section Leader where necessary (disputed claims)

·         Liaise and follow up with relevant stakeholders on outstanding claims

·         Refer dispute claims to Section Leader

·         Update the clients details on the system

·         Update AIMS notes


2.    Assist walk-in clients:

·         Receive claims from walk-in clients (Funeral, Cash Backs, and Cash Providers, School funds, Life covers, 4sure and Legacy policies) 

·         Assist walk-in clients with any claims submission, queries/complaints

·         Submit claims to clerk administrator to register the claims

·         Liaise with branch offices if they will be receiving outstanding documents from the clients who submitted claims at Head Office


3.    Follow up on outstanding investment claims: 

·         Follow- up on outstanding claims  documentation/investigation (All old and new claims received)

·         Update AIMS notes and e-mail branches

·         Do bi-weekly follow-ups on the correspondence

·         Give inputs to Section Leader on the finalization of claims without the outstanding document or to defer a claim


4.    Reconcile information received, processed and finalised

·         Compile monthly individual statistics

·         Compile reports as requested by managers

·         Compiling all branch registers month end (Death & Withdrawals), making sure all branches captures claims correctly, making follow ups on a weekly basis, confirming with all branch managers.

·         Compiling all Head Office Registers (Withdrawals and Maturities).



·         Matric

·         NQF 3 in Insurance

·         1 years’ experience life insurance


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