Job Overview: Claims Administrator – Bloemfontein
Job Description
The Claims Administrator is responsible for managing and processing all insurance-related claims for Hestony, including both motor and property claims. This role ensures that all claims are legitimate, well-documented, and processed efficiently in line with company policies and insurance regulations. The position requires strong administrative skills, effective communication with claimants, brokers, and internal teams, and a solid understanding of insurance claim procedures. Accuracy, compliance, and timely reporting are key performance areas.
Key Responsibilities
Claims Administration
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Administer and process all professional and general liability claims for Hestony.
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Ensure accurate, complete, and timely management of all claim files.
Expense & Settlement Management
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Determine and allocate expense reserves for claims.
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Coordinate approvals with relevant departments for claim settlements.
Claims Investigation
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Investigate the validity of claims by gathering and evaluating relevant information.
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Identify any inconsistencies or missing information.
Client & Stakeholder Coordination
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Liaise with claimants to resolve motor and property claim-related issues.
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Communicate professionally with clients, employees, and internal teams throughout the claims process.
Broker Coordination
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Notify the company’s insurance broker of all new and ongoing claims.
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Submit accurate and complete documentation to brokers to facilitate claim processing.
Third-Party Recovery
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Manage recovery processes for third-party claims.
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Collect necessary documentation and ensure recovery within established guidelines.
Record Keeping
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Maintain detailed and accurate claim records in accordance with company and legal requirements.
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Secure all claim documents for at least three years as required by law.
Reporting
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Compile and distribute monthly claims reports to senior management.
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Track claim trends, expenses, and settlements.
Driver Examination Coordination
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Partner with the recruitment department to obtain, review, and file weekly driver examinations.
Legislative Compliance
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Stay informed on changes to insurance legislation and ensure compliance in all claim-handling processes.
Departmental Assistance
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Provide general administrative and operational support as needed.
Skills & Competencies
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Excellent administrative and organisational skills.
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Strong written and verbal communication.
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Interpersonal skills with the ability to handle sensitive or complex situations.
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Ability to multitask and manage tight deadlines.
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Proficient in Microsoft Excel and related software.
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Fluent in English and Afrikaans.
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Strong attention to detail and problem-solving ability.
Qualifications & Experience
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Matric (Grade 12) or equivalent.
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Minimum 3 years of experience in insurance claims administration.
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Solid understanding of claims processes, insurance regulations, and documentation requirements.
Remuneration
R15 000 per month