Claims Administrator

Posted 5 Days Ago
Be an Early Applicant
2 Locations
Remote or Hybrid
Mid level
Fintech • Software • Financial Services
The Role
Provide administrative support across the claims lifecycle, liaise with clients, TPAs, insurers and service providers, monitor claim progress, resolve routine queries, ensure compliance, manage records, report, and deliver excellent customer service to retain clients and generate referrals.
Summary Generated by Built In
The Claims Administrator is responsible for providing efficient, accurate and customer-focused administrative support throughout the claims lifecycle. To act as the primary liaison between clients, the outsourced Claims Administrator (TPA), insurers, assessors and internal stakeholders, ensuring claims are progressed within agreed service levels while delivering an excellent customer experience. The role is responsible for monitoring claim progress, maintaining accurate records, resolving routine queries, coordinating communication and supporting compliance with insurer, regulatory and company requirements ResponsibilitiesClaims Administration
Claims Validation & Documentation
TPA, Insurer & Service Provider Liaison
Client Communication & Customer Service
Claims Resolution
Client Retention
Referral Generation
Customer Feedback & Surveys
Query & Complaint Resolution
Compliance & Risk Management
Reporting & Administration

Required skills & competencies:

Self-motivated with a consistently positive approach
Dynamic individual who is able to multi-task 
Flexible (adapts easily to change)
Ability to deal with staff on all levels
Ability to establish, build, maintain and manage sound interpersonal relationships on both a verbal and written level (both internally & externally)
Strong customer service orientation
Able to work well in a team and/or individually
Attention to detail and accuracy
Commitment to Treating Customers Fairly (TCF) principles

Qualifications
Matric
FAIS and RE compliant  (mandatory or advantageous
3 - 5 years short term insurance experience in Personal Line Claims is mandatory
Computer literate (Microsoft Office Suite)
Experience working on Cardinal C360 and insurance administration systems (advantageous)

Skills Required

  • Matric
  • FAIS and RE compliant
  • 3 - 5 years short term insurance experience in Personal Line Claims
  • Computer literate (Microsoft Office Suite)
  • Experience working on Cardinal C360
  • Experience with insurance administration systems
  • Self-motivated with a consistently positive approach
  • Ability to multi-task and adapt to change
  • Ability to deal with staff at all levels and build relationships
  • Strong customer service orientation
  • Attention to detail and accuracy
  • Commitment to Treating Customers Fairly (TCF) principles
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The Company
HQ: Cape Town, Western Cape
7 Employees
Year Founded: 1998

What We Do

Make ooba a new home for your career! At ooba (www.ooba.co.za), we’re proudly contributing to the growth of our country and the economy by transforming the South African home ownership market. Not only do we empower people by ‘opening doors’ to a secure financial asset for them and their families, we also help them protect their assets through our competitive range of insurance products. We do this by being pioneer and the leading brand in home loans origination for South Africa. We’re a growing and innovative business offering meaningful work with rewarding careers. At ooba, we believe in empowering our people by the introduction of innovative technology enablers and progressive people practices. Want to find out more about a career at ooba, check out our careers site at: www.careers.ooba.co.za

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