Claims Learnership X4

Requirements

• ✓Matric.
• ✓Minimum Experience:
• ✓None.
• ✓Please note that preference will be given to people with disabilities.
• ✓Duties and Responsibilities
• ✓Administration and Claims processing
• ✓Perform administration functions – registration of new claims and loading (and authorization) payments.
• ✓Examine and validate new claims and any related documentation thereof.
• ✓Adjust claims and ensure that the merits are inline with Sasria policy cover.
• ✓Ensure that the appropriate documents supporting the quantum are received and the calculations are correct.
• ✓Perform document diary maintenance on IMS system.
• ✓Update the reserve as per reserving policy and keep a regular follow-up outstanding proof of quantum.
• ✓Exercises proper judgment and decision making to analyze the claims exposure, to determine the proper course of action and to appropriately settle the claim within delegated authority.
• ✓Approve claims within delegated authority after verification of all documents and validation thereof under the policy cover.
• ✓Escalate complex and contentious claims to Supervisor.
• ✓Manage and ensure that all other external resources and handle the claim within the required procedures and Sasria philosophy.
• ✓Update notes on the system regularly to ensure notes reflect latest status of claim.
• ✓Inform underwriting department of gaps in cover, omitted documents as well as losses/ gains on premium.
• ✓Handle all customer enquiries and queries promptly and in-line with policy.

About This Role