Claims Administrator – Insurance Claims Processing

About the role

The Claims Administrator II supports efficient processing of insurance claims within a financial services environment. You will handle customer queries, manage administrative tasks, and coordinate with internal and external stakeholders to ensure smooth claims operations.

Key responsibilities

• Update product benefits after customer requests or claim outcomes.
• Manage customer disputes and queries related to insurance products and claims.
• Issue policy documents, process premium refunds, and handle policy cancellations.
• Process claim payments and authorisations in line with policy terms.
• Reconcile claim payments to ensure accuracy and compliance.
• Handle device‑rental queries, premium collections, claim initiations, and cancellations.
• Maintain accurate customer records and ensure administration meets company policies and SLAs.
• Deliver exceptional customer service across phone, email, SMS, and WhatsApp.

Required profile

• Grade 12 (Matric) minimum.
• Diploma or certificate in Business Administration, Insurance, Customer Service or related field (advantageous).
• 2–3 years experience in claims administration, insurance administration or a customer‑service environment.
• Experience with insurance claims and policy administration.
• Proficiency in Microsoft Office (Word, Excel, Outlook).
• Experience with CRM/CSM systems (advantageous).

Required skills

• Microsoft Office (Word, Excel, Outlook)
• CRM/CSM systems