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 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 holder's relationship to the deceased Liaise with Re‑insurers where necessary on Life cover policies below R 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 a 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 spreadsheet 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 differs 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 Reconcile information received, processed and finalized Compile monthly individual statistics Compile 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 #J-18808-Ljbffr