Claims Administrator

The Job at a Glance

As the Claims Administrator, you will be reporting to the Claims Manager:
Life. You will be responsible for capturing of claims, following up on outstanding documents from relevant stakeholders and indexing of documents. You will also be responsible for keeping stakeholders informed and updated via various channels i.e. email, telephone, SMS etc. throughout the various stages of the claims processing cycle. In addition, you will also be responsible for the day-to-day operations of the branch premises where applicable, manage queries from walk-in clients and channel stakeholder queries according to the Service Level Agreement.

• Acknowledgement of claims upfront
• Communicate and articulate the claims process and requirements to the claimants and brokers, 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
• Perform any other ad hoc duties as assigned
• Provide backup services for team members
• Perform claims registration and the relevant verifications

• Manage and resolve customer enquiries
• Identify and elevate priority issues

• Compiling records of office activities i.e. keep an electronic and manual register of walk in clients
• Order and maintain relevant office supplies
• Arrange team meetings and distribute minutes.
• Manage the central mailbox
• Allocate work and channel work and queries accordingly

• Regularly communicate and liaise verbally and in writing with customers/suppliers/visitors/enquirers and relevant staff, and interpret and respond clearly and effectively to spoken requests over the phone or in person, and to verbal or written instructions
• Manage walk-in queries as and when required in line with the RMA Service Catalogue
• Handle customer inquiries both telephonically and by email
• Research required information using available resources
• Provide customers with accurate product and service information in an efficient manner
• Update existing customer personal information
• Deal with all customers in a professional and empathetic manner
• Assist stakeholders with using the correct processes for logging their queries.

• Using appropriate templates and channels to report progress as and when required.

We offer great opportunities for personal and professional development in a stable company that is 130 years strong. The role comes with a competitive salary package and various benefits. Furthermore, you will be part of a dedicated group of colleagues who value teamwork and collaboration.

The shortlisting process will only start once the advert due date has been reached. The time taken to complete this process will depend on how far you progress within the recruitment process and the availability of our managers. Kindly note that should you not receive a response within 21 days, please consider your application unsuccessful.

Closing date: 8th September 2026

In accordance with the employment equity plan of Rand Mutual Assurance and its employment equity goals and targets, preference may be given, but is not…