Claims Processor (Insurance), Pretoria

Clerk: IL Claims Processor_Temporary Assignment Location: Pretoria

Salary: R36 p.h

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

Responsibilities

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

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

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

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).

Requirements

Matric

NQF 3 in Insurance

1 years' experience life insurance

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