- Insurance
- Permanent
- Sanlam
- Sanlam Personal Finance
Position Details
Sanlam Sky Solutions, a business unit within the Sanlam Personal Finance cluster, offers a wide range of simple and affordable financial solutions tailored for the South African entry-level market. These solutions cover needs such as funeral insurance, savings for education, life cover and personal accident plans. This business consists of 61 sales branches and 106 client care offices, conducting business through over 400 brokers and 3 700 tied agents, all dedicated to meeting the financial needs of its clients and their families.
Position Description
Key Responsibilities
- To assess each claim on the claim administration system and identify the type of claim
- Assess the validity of the identified claim by assuring all the supporting documentation has been submitted. (assess the documentation in terms of signed claim form, id of deceased, proof of bank details, death certificate, BI 1663)
- Valid claims are processes on the administration system and send for payment
- Claims that have outstanding documentation: client will be notified of outstanding requirement
- Invalid claims will be rejected/ Repudiated
- All claims processes must align to SLA and SOPS
- To maintain and error rating of less than 0.5 %
- Assure capturing of claims are done accurately
- Assure all criteria is met to pay claim
- Assure the quality of feedback (written and verbal) to clients
- To ensure that clients are provided with real time information on the status of the claim (feedback on the claim processing)
- Assure feedback on requirements for successful claims payment is done timeously
Minimum Requirements
Qualifications:
- Matric/NQF4 qualification essential
- 1 year relevant experience in a similar environment essential
- Proficiency on MS Word,& Excel (intermediate level) essential
Competencies
- Computer literate
- Communications skills (written and verbal)
- Attention to detail
- Customer focused
- Investigative
- Interpersonal skills
- Analytical skills
