Claims Administrator Johannesburg

Claims Administration: * Acknowledgement of claims upfront, distinguish between minor and serious injuries and products * Communicate and articulate the claims process and requirements to the claimants and employers, as pre-defined processes * Refer / channel claims to relevant departments * Gather information, send follow-ups and reminders on outstanding claims documents * Prepare, scan, and index internal and external documents i.e. medical reports, invoices, investigation reports, images, received from clients according to company procedures and Service Level Agreement * Organise scanned documents on the local network * Identify and edit/correct the legibility of scanned documents * Analyse documents received to produce the appropriate shades and best resolution in scanned reproductions * Ensure that there are no duplicate documents uploaded on the system on an ongoing basis * Assist in checking the eligibility and validity of the Employer * Perform any other ad hoc duties as assigned * Provide backup services for team members * Capture Temporary Total Disablement for payment * Query resolution: Manage and resolve customer enquiries *  Identify and escalate priority issues * Act as backup for the Contact Centre for email/calls overflow and during system downtime * RE5 Exam * 3 – 5 years’ experience large value commercial short-term claims * Claim querying * Knowledge of underwriting to assist in the claims process and contract knowledge for claims. R20,000 - R30,000 depending on experience * RE5 Exam * 3 – 5 years’ experience large value commercial short-term claims * Claim querying * Knowledge of underwriting to assist in the claims process and contract knowledge for claims.