Disability Claims Administrator - Cape Town at Momentum Metropolitan Holdings Limited

Role Purpose    

• Provide efficient and effective administration support to ensure the smooth running of a functional area.

Requirements    

• Qualification minimum: Grade 12 (NQF Level 4)
• A working knowledge of Office 365
• Intermediate Excel
• 1 to 2 years relevant experience
• Understanding of the Group Insurance Industry
• Exposure and knowledge of the Disability process
• Understanding of basic medical terms

Duties & Responsibilities    
INTERNAL PROCESS

• Receive and manage all calls from internal and external clients.
• Provide first time call resolution to resolve all queries timeously and effectively.
• Dealing with clients in a competent, efficient and professional manner in accordance with the quality standards.
• Perform an efficient and accurate administrative function.
• Ensure accurate completion of documentation as per departmental guidelines in order to meet client needs.
• Take ownership of escalated and unresolved queries and ensure they are resolved timeously and effectively
• Compliance with workplace policies and procedures
• Identify risks to the company and escalate accordingly.
• Monitors applications to ensure risks could not potentially lead to financial loss to the company.
• Engage with appropriate training interventions to promote own professional development.
• Actively live the MMH values
• Maintain effective client relationships to ensure successful service delivery and support.
• Monitor customer delivery constraints and escalate exceptions to management.
• Maintain positive and productive relationships with key clients.
• Scanning and Indexing.
• Update workflow system and upload documents with personal member information.

CLIENT

• Build and maintain relationships with clients and internal and external stakeholders.
• Deliver on service level agreements made with clients and internal and external stakeholders in order to ensure that client expectations are managed.
• Make recommendations to improve client service and fair treatment of clients within area of responsibility.
• Participate and contribute to a culture which builds rewarding relationships, facilitates feedback and provides exceptional client service.

PEOPLE

• Develop and maintain productive and collaborative working relationships with peers and stakeholders
• Positively influence and participate in change initiatives.
• Continuously develop own expertise in terms of professional, industry and legislation knowledge
• Contribute to continuous innovation through the development, sharing and implementation of new ideas
• Take ownership for driving career development

FINANCE

• Identify opportunities to enhance cost effectiveness and increase operational efficiency
• Manage financial and other company resources under your control with due respect
• Provide input into the risk identification processes and communicate recommendations in the appropriate forum.

Competencies    

• Planning and Organisation Skills
• Accountability
• Adaptability
• Results Orientation
• Attention to Detail
• People Skills
• Customer Orientation
• Business Administration Skills
• Business Writing Skills
• Communicating with Impact