Contact Us: (+27) 082 921 2439 ferdi@aaaa.co.za
Job Details
Administrator: IL Claims Assessment (Insurance) |
Notice: Trying to get property of non-object in /home/aaaa/public_html/admin/add-job.php on line 201
Location: Menlo Park | Salary / Range: R19800 to R22000 | Posted On: Apr 26, 2018
Key Skills :
Notice: Trying to get property of non-object in /home/aaaa/public_html/admin/add-job.php on line 142
Qualification :
Notice: Trying to get property of non-object in /home/aaaa/public_html/admin/add-job.php on line 147
Job Function : Permanent
Vacancy :
Notice: Trying to get property of non-object in /home/aaaa/public_html/admin/add-job.php on line 161
Position: Permanent
Job Description:

Administrator: IL Claims Assessment

Location: Pretoria, South Africa

Salary: R19 800 – R22 000

           

Our client in the Insurance industry is looking for an Administrator: IL Claims Assessment.

 

Key responsibilities

 

  1. Assessing and processing of life and funeral claims
  • Process funeral and life claims and prepare for claims approval process within 48hrs of receipt
  • Verify premiums paid on the system prior to assessing claims
  • Verify deceased and beneficiaries against main policy on the system
  • Confirm the policy holders relationship to the deceased
  • Liaise with Re-insurers where necessary on Life cover policies below R300 000.00
  • Refer suspicious fraudulent claims to Specialist administrator
  • Discuss complex claims with in-house professional advisor and consultants
  • Follow up timeously on all outstanding claims
  • Liaise with relevant stakeholders on outstanding and incorrect Id numbers and where the person is covered on the application form but does not exist on the system
  • Liaise with Client services where the deceased died before the policy become inactive. To activate the policy prior to assessing
  • Responsible for identifying disputes and complaints of complex claims
  • Recommend a solution to Senior Manager where claim arises a day before the 6 month waiting period expires
  • Update AIMS notes on system
  • Be a 2nd validator on captured and authorized claims
  • Give feedback on follow-up claims to Section leader 
  • Forward a spread sheet of all finalized claims to Section Leader

 

  1. Claims pay-out
  • Confirm status of the claim if it is approved or declined
  • Where the age of the deceased differ with the one on the system apply the penalty formula
  • Recommend decline/payment of claims
  • Double check the consistency on banking details attached to the claim and the one on the system
  • Forward the claim to Manager for payment
  • Check the finance list and sign off

 

  1. Reconcile information received, processed and finalized
  • Compile monthly individual statistics
  • Compiling all branch registers month end (Death)
  • Present challenges experienced and solutions taken to resolve them

 

 

 

Requirements           

                               

  • Matric
  • NQF 4 in Insurance (Advantage)
  • 2 years life insurance in claims
  • Intermediate MS Office Word, Excel, PowerPoint

 

Send your CV and latest pay slip to hilda@aaaa.co.za

ATripleA Recruitment and Temps

www.aaaa.co.za

 


  
 
All Jobs
Engineering
Finance
Admin
IT
Other
Temps
 
Name:
Email:
 
 
Home
 
About Us
About Us
Meet the Team
Our Experience
 
Services
Temp Recruitment
Perm Recruitment
Headhunting
Criminal Checks
Value Add Services
Methodology
 
Why AAAA?
Clients
Candidates
 
Contact Us