Junior Specialist: Claims Job in Johannesburg
Job Description
Junior Specialist: Claims Job. The Junior Specialist: Claims role is an entry-level position focused on assisting with the processing and handling of insurance claims within an organization. This role involves reviewing claims, verifying information, and ensuring compliance with company policies and regulations. The Junior Specialist works closely with senior claims professionals to learn the ins and outs of the claims process, gaining valuable hands-on experience. Strong attention to detail, analytical skills, and a customer-centric approach are essential for success in this role. The Junior Specialist plays a pivotal role in supporting the claims department, contributing to efficient claim resolution and customer satisfaction.
Responsibilities of Junior Specialist: Claims Job
- Assess and/or process claims following standard operating procedures.
- Handle all customer interactions professionally and efficiently.
- Effectively fulfill all required administrative duties, including tracking and reporting.
- Ensure that all team activities are in adherence to relevant control and compliance requirements and quality standards.
- Assist with the processing and handling of insurance claims.
- Review and verify claim information for accuracy and completeness.
- Ensure compliance with company policies, procedures, and regulations.
- Collaborate with senior claims professionals to resolve complex claim issues.
- Maintain accurate records of claim transactions and communications.
- Communicate effectively with policyholders, claimants, and other stakeholders.
- Assist in investigating and evaluating claims to determine coverage and liability.
- Provide support in the settlement negotiation process.
- Stay updated on industry trends, regulations, and best practices related to claims processing.
- Participate in training and development programs to enhance knowledge and skills.
Requirements
- Bachelor’s degree in Business Administration, Finance, or related field.
- Previous experience in insurance, claims processing or a related field is advantageous.
- Strong attention to detail and accuracy.
- Excellent analytical and problem-solving skills.
- Knowledge of insurance principles and regulations.
- Proficiency in using claims processing software and systems.
- Effective communication and interpersonal skills.
- Ability to work well in a team environment.
- Adaptability and willingness to learn new processes and procedures.
- Customer service-oriented mindset with a commitment to quality and efficiency.
