Our client, a leader in the transport industry, is seeking an experienced Insurance Claims Clerk to join their team based in Durban. Salary R10 000 - R15 000 depending on experience.
Minimum Requirements
- Grade 12 or equivalent; a diploma or degree in Insurance, Business Administration, or related field is an advantage.
- Basic understanding of insurance products, policies, and claims procedures.
- Strong attention to detail and organizational skills.
- Good communication and interpersonal skills.
- Proficiency in MS Office and claims management systems.
- Ability to work under pressure and meet deadlines.
Main Job Functions
Claims Processing
Receive, review, and process insurance claims submitted by clients.Verify that all required documentation and information are complete and accurate.Enter claim data into the company’s claims management system promptly and accurately.Documentation & Recordkeeping
Maintain organized and up-to-date records of all claims, correspondence, and supporting documents.Ensure confidentiality and secure handling of sensitive client information.Communication & Customer Service
Serve as a point of contact for clients regarding the status of their claims.Communicate with internal departments, adjusters, and external parties to gather necessary information.Respond to client inquiries in a professional and timely manner.Claims Verification & Investigation Support
Conduct preliminary checks to verify claim legitimacy.Identify discrepancies, missing information, or potential fraudulent claims and escalate to the supervisor.Assist claims adjusters in investigations, if required.Compliance & Reporting
Ensure all claims are processed in accordance with company policies, procedures, and relevant insurance regulations.Prepare and submit claims reports as requested by management.Assist with audits and regulatory compliance documentation when required.Continuous Improvement
Identify opportunities to improve claims processing efficiency and client experience.Stay updated on industry trends, insurance regulations, and company policy changes.#J-18808-Ljbffr