Claims Administration

Company: 1 Life Insurance

Location: Johannesburg, Gauteng

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Reference Number
OLI-1832
Description
JOB PURPOSE

Gather all necessary information as relating to all new and existing Life and
Funeral Claims,

RESPONSIBILITIES

Administration

Conduct data entry into company systems, and review and verify the information

to ensure accuracy and accessibility.

Data Collection and Analysis

Perform basic data entry tasks, including data verification.

Data Management

Support others by working on a variety of data management tasks. Provide

Claims Assessors with the necessary assistance in gathering information /

documents as and when required.

Document Preparation

Use standard office software to carry out basic formatting on letters, memoranda

and routine reports.

Handling Enquiries and Correspondence

Answer the telephone and assist callers or those making varied enquiries by

email or mail with any basic requests for information, directing more complex

matters to colleagues as necessary.

External Communication

Create positive experiences for clients by interacting courteously with them.

Customer Service

Carry out standard customer service activities and handle simple customer

enquiries.

BEHAVIORAL COMPETENCIES *Decision Quality**

Makes good and timely decisions that keep the organization moving forward. For

example, knows when to act independently and when to escalate issues.

Integrates various inputs, decision criteria, and trade-offs to make effective

decisions. Typically makes good independent decisions.

Manages Complexity

Makes sense of complex, high quantity, and sometimes contradictory information

to effectively solve problems. For example, looks at complex issues from

multiple angles; explores issues to uncover underlying issues and root causes.

sees the main consequences and implications of different options.

*Plans and Aligns*

Plans and prioritizes work to meet commitments aligned with organizational

goals. For example, outlines clear plans that put actions in a logical sequence.

conveys some time frames. Aligns own work with relevant workgroups. Takes

some steps to reduce bottlenecks and speed up the work.

*Customer Focus**

Builds strong customer relationships and delivers customer-centric solutions. For

example, probes deeply into customer needs to identify less obvious interests or

expectations. Consistently goes above and beyond to understand customer

requirements and surpass their expectations.

*Communicates Effectively**

Develops and delivers multi-mode communications that convey a clear

understanding of the unique needs of different audiences. For example, listens

attentively and takes an interest. Keeps others well informed; conveys

information clearly, concisely, and professionally when speaking or writing.

*Ensures Accountability**

Holds self and others accountable to meet commitments. For example, accepts

responsibility for own work, both successes and failures. Handles fair share and

does not make excuses for problems. Usually meets commitments to others.

*Drives Results**

Consistently achieves results, even under tough circumstances. For example,

devotes considerable effort to surpassing goals and achieving the best possible

results; goes above and beyond to achieve excellence. Drives ahead with great

focus when faced with obstacles and setbacks; maintains productivity and a

positive attitude.

*Being Resilient**

Rebounds from setbacks and adversity when facing difficult situations. For

example, is calm and professional in difficult situations; continues to work toward

objectives. Overcomes obstacles without becoming discouraged; draws lessons

from failures. Recovers from setbacks and adversity.

*Manages Conflict**

Handles conflict situations effectively, with a minimum of noise. For example,

disagrees with others in a respectful and tactful manner; handles conflicts and

differences of opinion in a calm, composed manner, rebounds from conflicts

without animosity.

Collaborates

Builds partnerships and works collaboratively with others to meet shared

objectives. For example, learns how to operate as a team player, contributing

actively to the group’s efforts. Seeks others’ inputs, appreciates their

contributions: offers to help when the need is clear.

Builds Networks**

Effectively builds formal and informal relationship networks inside and outside

the organization. For example, draws upon own network to gain insight, build

support, and achieve outcomes. Leverages networks to identify industry experts,

explore some best practices, and exchange ideas and knowledge.

Interpersonal Savvy**

Relates openly and comfortably with diverse groups of people. For example,

takes time to build rapport in meetings; speaks about common interests and

priorities; shows tact and sensitivity in difficult interpersonal situations. Maintains

productive relationships with a wide variety of people and from a range of

backgrounds.

Demonstrates Self-Awareness**

Uses a combination of feedback and reflection to gain productive insight into

personal strengths and weaknesses. For example, seeks balanced feedback

from others and is receptive to both positive and constructive views; applies

insights from feedback. Knows own strengths and limits and how own style

impacts others.

Action Oriented**

Takes on new opportunities and tough challenges with a sense of urgency, high

energy, and enthusiasm. For example, takes timely action on important or

difficult issues. Identifies and pursues new opportunities that benefit the

organization.

Instills Trust**

Gains the confidence and trust of others through honesty, integrity, and

authenticity. For example, demonstrates integrity, upholding professional codes

of conduct. Instills trust by following through on agreements and commitments

despite competing priorities and by being honest and straightforward.

Business Insight**

Applies knowledge of business and the marketplace to advance the

organization’s goals. For example, clearly understands how own activities relate

to critical business drivers. Monitors business news and market changes for

impact on the business or on own expertise area; uses this to shape decisions.

Self-Development**

Actively seeks new ways to grow and be challenged using both formal and

informal development channels. For example, creates a development plan that

states clear goals and the tactics to achieve them. Gathers information on where

to focus. Makes efforts to apply new skills on the job.

SKILLS Verbal Communication

Use clear and effective verbal communications skills to express ideas, request

actions and formulate plans or policies.

Policy and Regulation

Interpret and apply knowledge of laws, regulations and policies in area of

expertise.

Numerical Skills

Use an understanding of numerical concepts to perform mathematical operations

such as report analysis.

Computer skills

Support business processes by understanding and effectively using standard

office equipment and standard software packages.

Assessment

Analyze data from multiple sources to draw appropriate conclusions and make

suitable recommendations.

Data Collection and analysis

Analyze data trends for use in reports to help guide decision making.

Compliance

Achieve full compliance with applicable rules and regulations in management

and/or operations.
Requirements
EDUCATION General Education

Matric / Grade 12/ SAQA Accredited (Essential)

Equivalent Regulatory exam 5 (Essential)

 

EXPERIENCE General Experience

1 – 2 years working experience in the life/funeral insurance industry, preferably

within an administrative function (Essential)

ADDITIONAL INFORMATION

*SAQA Accredited Equivalent – it is the onus of the applicant to provide 1Life and its subsidiaries with certified evidence that their qualification(s) meet the equivalent NQF level required for this role at time of application. *Financial Sector Conduct Authority (FSCA) competency requirements: FAIS recognised qualifications / Regulatory Examinations / Class of Business Certification and / or CPD according to your DOFA (where applicable). As a registered Financial Service Provider, we are mandated to ensure that all our representatives are and remain fit and proper at all times. By applying for this role, you consent to having your relevant qualification and or accreditation or confirm that you are working towards meeting the competency requirements. You further consent to the relevant information being verified.

 

 
Work Level
Skilled
Job Type
Permanent
Salary
Market Related
EE Position
No
Location
Gauteng

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