Commercial Claims AdministratorA brokerage in the Garden Route is on the lookout for a qualified and experienced commercial claims administrator to join their team.
Job overview: As a commercial claims administrator, you will play a pivotal role in managing and processing claims for commercial insurance policies. You will be responsible for accurately assessing claims, communicating with clients and third-party stakeholders, and ensuring efficient resolution of claims within established timelines. Attention to detail, strong organisational skills, and excellent communication abilities are essential for success in this role.
Key responsibilities:Claims processing: - Receive, review, and process incoming commercial insurance claims promptly and accurately.
- Assess the validity of claims by gathering and analysing relevant documentation and information.
- Verify policy coverage, deductibles, and other pertinent details to determine claim eligibility.
- Input claim information into the database or claims management system accurately and efficiently.
Communication and customer service: - Serve as the primary point of contact for clients, brokers, and other stakeholders regarding claim inquiries and updates.
- Communicate claim decisions, requirements, and resolutions clearly and professionally to all involved parties.
- Address client concerns or complaints regarding claims in a timely and empathetic manner, striving to provide satisfactory resolutions.
Documentation and record-keeping: - Maintain accurate and organised claim files, ensuring all relevant documentation is complete and up-to-date.
- Prepare and submit necessary reports, documentation, and correspondence related to claims processing.
- Monitor and track the progress of claims, following up as needed to ensure timely resolution.
Compliance and regulations: - Adhere to all relevant laws, regulations, and industry standards governing commercial insurance claims.
- Stay updated on changes in insurance laws, regulations, and industry practices, and incorporate these changes into claim handling processes as needed.
- Ensure compliance with company policies and procedures throughout the claims handling process.
Collaboration and teamwork: - Work collaboratively with other departments such as underwriting, legal, and finance to resolve complex claims issues.
- Provide support and assistance to colleagues as needed, fostering a positive and cooperative work environment.
Qualifications:- RE5 & NQF4 / 360 credits essential
- Bachelor's degree in business administration, finance, insurance, or a related field preferred.
Requirements:- Proven experience in commercial insurance claims administration or a similar role.
- Strong understanding of commercial insurance policies, coverage, and claim procedures.
- Excellent analytical skills with the ability to assess and evaluate complex claim situations.
- Exceptional communication skills, both written and verbal, with the ability to effectively interact with clients and stakeholders.
- Proficiency in using computer systems and software for data entry, documentation, and communication.
- Detail-oriented and highly organised, with the ability to manage multiple tasks and priorities effectively.
- Knowledge of relevant laws, regulations, and compliance requirements pertaining to insurance claims.
Remuneration: R15,000 - R25,000 basic salary (depending on experience) Apply now!Visit our website for more opportunities: www.sydsenrecruit.com (Follow us on Facebook, Instagram and LinkedIn)Sydsen Recruit - the next level of employmentPosted on 10 Apr 09:02, Closing date 10 May |
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