Description:

To intimate and finalize claims and live our values, while providing excellent customer service to both internal and external clients. 

You will be working for a company that is over 100 years old with strong values which are customer centric.

Key Performance Areas:

Receive claim and prepare documentation

• Receive, investigate and intimate all claims daily, differentiate between new claims and other correspondence
• Determine status of policy and whether the deceased enjoys cover, verify and adjust policy details where necessary
• Investigate premium, policy and claim history
• Open and process claims according to claims procedure, and refer fully completed claims to underwriter
• Request additional information from Branch and Client by way of phoning, sending e-mail or fax or sms or 702 Letter
• Complete all claims within twenty-four hours
• Investigate complaints received and report back to all stakeholders

Receive and complete daily correspondence

• Receive daily loose correspondence, match with file and refer to underwriter
• Receive diary letters daily, match to file and send original to client
• Send all claim related correspondence for scanning

Handle complex enquiries from clients, branches and other departments

• Attend to all written and verbal enquiries from clients, branches and other departments
• Compile claim quotations on the system

Cheque requests

• Compile cheque requisitions and write backs
• Receive cheques from finance department and send out with necessary letters
• Attend to all cheque stop payments or reversals within 3 days of receipt
• Process ex gratia payments on the day of receipt

Compile statistics and perform ad hoc duties

• Compile daily statistics of finalized claims
• Perform ad hoc duties as requested by supervisor / Management

Accident Benefit

• Process accident benefit
• Request for outstanding requirements
• Send to underwriter when documents are received

Requirements:

• Matric
• 2 - 3 Years' experience in Life insurance / dealing with death Claims