JOB TITLE: Junior Claims Administrator AREA: Waterkloof, Pretoria INDUSTRY: Insurance Salary / CTC: R 10 000 Report to: Claims Manager Job Summary: The Junior Claims Administrator is responsible for processing and managing claims, ensuring accuracy and compliance with company policies. This role involves understanding assessor and service provider reports, drafting rejection proposals, following up on communications, and maintaining up-to-date records in the administrative system. Roles and responsibilities Reading and Understanding Reports Review and comprehend assessor and service provider reports to determine the validity and details of building and home contents claims. Ensure all reports are accurate and complete before processing claims. Drafting Rejection Proposals Prepare detailed and well-documented rejection proposals for claims that do not meet policy requirements. Forward rejection proposals to underwriters for review and approval. Follow-Up on Rejection Letters Track and follow up on the status of rejection letters sent to underwriters. Ensure timely communication and resolution of any queries or disputes arising from rejection letters. Updating Administrative Systems Accurately update the administrator system with the latest claim statuses, including rejected, and pending claims. Maintain comprehensive and organised records of all claim activities and communications. Report Amendments Follow up on amendments to assessor and supplier reports as instructed by underwriters. Ensure all report amendments are accurately reflected in the system and communicated to relevant stakeholders. General Claim Administration Assist with general administrative tasks related to the claims process, including filing, data entry, and correspondence. Provide support to the Claims Manager and other team members as needed. Minimum Qualifications Matric Certificate. Additional qualifications in insurance or administration are advantageous. Minimum Experience Previous experience in an administrative role, preferably within the insurance industry, is beneficial. Skills Required Technical Skills: Proficiency in Microsoft Office Suite (Word, Excel, Outlook); experience with claims management software is a plus. Communication Skills: Excellent verbal and written communication skills; ability to draft clear and concise rejection proposals and correspondence. Analytical Skills: Strong attention to detail and the ability to interpret and analyse reports and data. Organisational Skills: Ability to manage multiple tasks efficiently and meet deadlines. Interpersonal Skills: Ability to work well within a team and interact professionally with clients and service providers. Working Conditions Standard office environment with occasional need to attend meetings or training sessions. May require occasional overtime during peak periods.
