Job Title: Senior Clerk: Claims
Company: Avbob
Description:
To intimate and finalize claims and live our values, while providing excellent customer service to both internal and external clients.
You will be working for a company that is over 100 years old with strong values which are customer centric.
Key Performance Areas:
Receive claim and prepare documentation:
- Receive, investigate and intimate all claims daily, differentiate between new claims and other correspondence
- Determine status of policy and whether the deceased enjoys cover, verify and adjust policy details where necessary
- Investigate premium, policy and claim history
- Open and process claims according to claims procedure, and refer fully completed claims to underwriter
- Request additional information from Branch and Client by way of phoning, sending e-mail or fax or sms or 702 Letter
- Complete all claims within twenty-four hours
- Investigate complaints received and report back to all stakeholders
Receive and complete daily correspondence:
- Receive daily loose correspondence, match with file and refer to underwriter
- Receive diary letters daily, match to file and send original to client
- Send all claim related correspondence for scanning
Handle complex enquiries from clients, branches and other departments:
- Attend to all written and verbal enquiries from clients, branches and other departments
- Compile claim quotations on the system
Cheque requests:
- Compile cheque requisitions and write backs
- Receive cheques from finance department and send out with necessary letters
- Attend to all cheque stop payments or reversals within 3 days of receipt
- Process ex gratia payments on the day of receipt
Compile statistics and perform ad hoc duties:
- Compile daily statistics of finalized claims
- Perform ad hoc duties as requested by supervisor / Management
Accident Benefit:
- Process accident benefit
- Request for outstanding requirements
- Send to underwriter when documents are received
Requirements:
- Matric
- 2 – 3 Years’ experience in Life insurance / dealing with death Claims
