Claims Administrator – Commercial Short-term claims – Government Job Vacancies in Sandton

  • Full Time
  • Sandton
  • Posted 2 months ago

Acumen Resources Development (Pty) Ltd.


Claims administrator required for the risk and insurance business based in Sandton. Knowledge of underwriting to assist in the claims process and contract knowledge for claims. Must have 3 – 5 years’ experience in large value commercial short-term claims.




Duties & Responsibilities

  • 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 emailcalls overflow and during system downtime

Desired Experience & Qualification

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

Package & Remuneration

R20K – R30K (CTC)


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