Commercial Claims Administrator

Location:	Garden Route
Reference:	#CAW005434/MU
Company:	SydSen Recruit

Commercial Claims Administrator - Garden Route

A 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 organizational skills, and excellent communication abilities are essential for success in this role.

Key Responsibilities:

1. Claims Processing:
   
   • Receive, review, and process incoming commercial insurance claims promptly and accurately.
   • Assess the validity of claims by gathering and analyzing 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.
2. 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.
3. Documentation and Record-Keeping:
   
   • Maintain accurate and organized 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.
4. 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.
5. 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 organized, 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!
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SYDSEN RECRUIT - THE NEXT LEVEL OF EMPLOYMENT

Posted on 10 Apr 09:02, Closing date 10 May