Administrator: Il Claims Assessment...

JOB INDEX - 2 months ago - Job Mail

2 months ago

Administrator: Il Claims Assessment

Key responsibilities
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
Follow up timeously on all outstanding claims
Liaise with Client services where the deceased died before the policy become inactive. To activate the policy prior to assessing.
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.
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
Present challenges experienced and solutions taken to resolve them.
Desired Experience & Qualification
NQF 4 in Insurance.
2 years life insurance in claims
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