Claims Administrator

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Claims Administrator- job post
Discovery Ltd.
103 reviews

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Business Unit: Discovery Employee Benefits
Function: Administration and Office Support
Date: 18-Mar-2022
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Discovery Employee Benefits


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Claims Administrator

About Discovery

Discovery’s core purpose is to make people healthier and to enhance and protect their lives. We seek out and invest in exceptional individuals who understand and support our core purpose, and whose own values align with those of Discovery. Our fast-paced and dynamic environment enables smart, self-driven people to be their best. As global thought leaders, Discovery is passionate about innovating in order to not only achieve financial success, but to ignite positive and meaningful change within our society.

About Discovery Employee Benefits

Discovery Employee Benefits is the first and only employee benefits provider to be shaping employee behaviour, creating healthier and wealthier workforces. It is an exciting business to be in as we reimagine the way retirement savings and life insurance is brought to companies and employees.

Key Purpose

The position is responsible for the day-to-day administration and managing a small team within Group Life Operations. This is a core administration function and the incumbent would be required to holistically manage and control a portfolio of different Group Life disciplines, for example monthly contribution, claim, investment option, individual transfer in, section 14, section 28 processes. The incumbent must ensure that processes and procedures are implemented, maintained and improved. The incumbent needs to ensure operational activity is conducted within regulatory frameworks, accurately, effectively and efficiently. The incumbent must ensure that he/she has the knowledge, skills, tools and competencies required to perform the required job within service level agreements. The incumbent must have an appetite to be part of a growing new business unit, continuous improvement, able to adapt to change easily and play a role in change management within the team, challenge the status quo, inspire and motivate others. The incumbent will continually review existing processes and procedures in order to ensure the delivery of committed services to the Group Life Clients.

Areas of responsibility may include but not limited to

Processing of all daily and monthly transactional activity within agree service levels.
Performing QA function for document verification where necessary.
Ensure that day to day administration is accurate, compliant and abreast with regulatory frameworks such as, Pension Funds Act, Tax Act, Rules of the Discovery Life Umbrella Pension and Provident Funds, Participating employer special rules.
Ensures delivery of key operational attributes such as data completeness and data quality.
Dealing with queries from internal stakeholders, communicate effectively with clients to resolve queries and escalations, ensure client expectations are met.
Prepare management and client report for submission to superiors.
Dealing with escalated calls or queries from internal stakeholders, communicate effectively with clients to resolve queries and escalations, ensure client expectations are met.
Develop and maintain excellent business relations with internal and external brokers.
Assistance to the Team Manager to ensure effective managing of projects.
The incumbent is the Subject Matter Expert in Retirement Fund areas under management. Produces new ideas, approaches or insights. Produces range of solutions to problems and do root cause analysis. Effective decision-making by “out of the box” thinking and weighing up risks involved.

Personal Attributes
Leading and Supervising
Planning & Organizing skills
Working with People - Communication
Persuading and Influencing
Adhering to Principles and Values – Self management
Delivering Results and Meeting Customer Expectations
Coping with Pressure and Setbacks
Relating and Networking
Teamwork and analytical skills
Communication
Problem solving
Initiative and enterprise
Learning
Technology

Education and Experience
Matric-essential and further studies are advantageous.
Telephone etiquette, detail orientated and self-driven. Customer centric focus to be evident.
MS Office- Advanced Excel skills, Accounting, operational processes and process mapping. Employee Benefits including Group Risk claim operations.
Knowledgeable on Compass; Paradigm (internal)
3 – 5 years claims experience in the long-term insurance industry. Pension and Provident Fund experience is advantageous

Employment Equity

The Company’s approved Employment Equity Plan and Targets will be considered as part of the recruitment process. As an Equal Opportunities employer, we actively encourage and welcome people with various disabilities to apply.


EMPLOYMENT EQUITY

The Company’s approved Employment Equity Plan and Targets will be considered as part of the recruitment process. As an Equal Opportunities employer, we actively encourage and welcome people with various disabilities to apply

Job ID : , #1864, 1 views,


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