Disability Claims Administrator – Cape Town

Western Cape, Full Time Deadline: Not specified

Role Purpose

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


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

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.


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.


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


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.


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