Insurance and Investments - Other Insurance South Africa FULL TIME Job Summary 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 ATripleA Recruitment and Temps www.aaaa.co.za AtripleA recruitment & temps Recruiter