Risk Claims Administrator

About this role

Salt Employee Benefits is looking for a Risk Claims Administrator for its Claims team at the Bellville office in Cape Town. You will check risk benefit claims for accuracy and help them move through the process smoothly, from the first form to the final payment step.

What you’ll do

• Check each claim pack from start to finish against the team’s quality assurance checklist.
• Make sure claim forms and supporting documents are complete, signed and meet scheme rules.
• Compare claim details with the records on the Everest administration system and flag any gaps or mismatches.
• Verify member details, including ID, banking details and employer information, and check for outstanding loans.
• Keep records and case notes up to date and attach all correspondence to the correct member file.
• Answer emails and calls from members, employers and colleagues, and follow queries until they are closed.
• Work with the risk re-insurer on billing information and claim packs.

What you need

• Matric (Grade 12).
• Proficiency in Microsoft Excel.
• Good knowledge of FICA, POPIA and Treating Customers Fairly (TCF) principles.
• Strong written and spoken communication skills.
• Strong attention to detail and good analytical thinking.
• Ability to work under pressure and meet strict deadlines.
• Advantageous: experience in employee benefits or claims administration.

Is this job for you?

This job suits someone who is careful with detail and enjoys checking information until it is right. You should be comfortable with numbers and forms, and happy to help people by phone and email. You should also be able to stay calm when deadlines are tight.

Tips before you apply

• Have your matric certificate and ID ready, and list any Excel skills you have used at work or study.
• If you have worked with forms, data or customer queries before, give clear examples on your CV of how you checked accuracy.
• Read up on FICA, POPIA and TCF so you can explain in simple words what each one means.

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