Our client, a well-established insurance brokerage, is seeking a Claims Administrator to manage the end-to-end administration of personal and commercial insurance claims. The role requires excellent administrative, time management, and communication skills to ensure efficient claims processing and outstanding client service.
 
Key Responsibilities:

Claims Management:

• Administer and process personal and commercial lines insurance claims from initiation to completion.
• Collect and assess necessary documentation (e.g., incident reports, claim forms, photos, police reports).
• Coordinate with policyholders, adjusters, and third-party service providers to gather relevant information.

• Serve as the primary point of contact for customers throughout the claims process.
• Provide clear and timely communication to claimants about the status of their claims and any additional information needed.
• Handle customer inquiries and resolve issues related to claims in a professional and empathetic manner.

• Review claims for completeness and accuracy and ensure that all required information is provided.
• Ensure claims are processed efficiently and in accordance with company policies and guidelines.
• Document all claim activities and ensure that the claims database is updated with the latest information.

• Manage all financial aspects relating to claims, including the accurate processing of claims payments, recoveries, excess collections, and supplier invoices.
• Verify and reconcile invoices received from assessors, contractors, panel beaters, service providers, and other third parties before submitting them for payment.
• Ensure claims-related payments are processed within agreed service level agreements and in accordance with insurer and company financial controls.
• Prepare, issue, and monitor claims-related invoices where applicable, ensuring accurate allocation to the correct claim files and cost centres.
• Reconcile claims accounts, investigate and resolve payment discrepancies, and maintain accurate financial records.
• Liaise with insurers, finance departments, suppliers, and clients regarding outstanding payments, recoveries, refunds, and account queries.
• Maintain comprehensive financial records for audit purposes and ensure compliance with internal controls, insurer requirements, and regulatory standards.