Technical Claims Administrator

at  PPS Recruitment

JOB ADVERT SUMMARY

A member of the PPS Life Insurance Operations Accounts team reporting to the Team Leader Claims Administration. This role will be responsible for all the technical administration in the Claims Administration department.
This will include working across all areas in Servicing and Administration with the ability to process in all facets of the department and resolve queries from start to end. They will be required to make decisions within their mandate and execute a higher quality of service combined with increased quantity as per the performance contract.

EDUCATION:

• A tertiary qualification (NQF6 or above) with relevant business orientation advantages

EXPERIENCE:

• 2+ years of experience in an administration environment.
• Experience in the policy administration environment would be beneficial.
• Call Centre experience would be beneficial to assist with telephonic enquiries

KNOWLEDGE AND SKILLS:

• A good business acumen.
• Knowledge of Financial institutions (advantageous).
• Computer Literate (MS Office Package).
• Have excellent administration skills.
• Display attention to detail and analytical skills.
• Have strong organisational skills.

KEY RESPONSIBILITIES:

• Quality assurance of claims documents received, as per the work instruction.
• Ensuring valid banking details linked to payment scheduler.
• Drafting of claims correspondence e.g. letters and emails.
• Verifying of member’s contact details and personal information.
• Sending out of communication of claims correspondence, inclusive of attachments.
• Uploading of claims assessment correspondence/documents on system (correspondence, emails, reports referral sheets, stats, etc.).
• Correctly administer claim documents and claim correspondence as per the published work instruction.
• Maintaining Team service level agreement by ensuring daily targets achieved