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Claims Administrator

Hiring from
South Africa
Work type
Hybrid
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About The Role

Team – Member Care - Life

Working Pattern - Hybrid – 2 days per week in the Vitality Sandton Office. Full time, 37.5 hours per week.

We are happy to discuss flexible working!

Top 3 skills needed for this role:

  • Strong claims administration experience
  • Proven client service capability
  • Excellent attention to detail

What this role is all about

We’re looking for a Claims Administrator to join our Member Care team in South Africa, supporting the effective administration of life insurance claims from initial notification through to claim decision. This role plays an important part in keeping claims progressing by obtaining the right documentation, maintaining accurate records and providing clear, professional updates to claimants and relevant third parties. Working within established claims processes, the Claims Administrator will help deliver a responsive and well-managed service while ensuring key turnaround times are met.

What you will be doing

  • Deliver a high standard of service across telephone and written channels, communicating professionally with claimants, doctors, financial advisers, solicitors and other relevant third parties
  • Review initial claim requirements and obtain the documentation and information needed to support claim assessment and progression
  • Manage claims administration efficiently, ensuring workloads are prioritised and required turnaround times are consistently met
  • Keep claimants and relevant third parties appropriately updated throughout the claims journey, providing clear and proactive communication
  • Prepare and maintain accurate claims documentation, ensuring information is complete and ready to support claim decisions
  • Arrange benefit payments and medical report payments accurately and in line with established processes
  • Notify reinsurers of relevant claim details and administer unemployment claims relating to waiver of premium
  • Refer claims to management, Forensics or the Chief Medical Officer where additional input or review is required
  • Maintain accurate claims records and capture relevant statistics to support effective reporting and oversight

What do you need to thrive?

  • Previous client services experience within the life insurance industry
  • A good understanding of long-term insurance and the ability to apply established processes accurately
  • Strong customer service and communication skills across telephone and written channels
  • The ability to manage competing priorities and maintain service standards within agreed turnaround times
  • Intermediate Microsoft Office skills
  • Secondary Education
  • Previous experience within a UK insurance environment would be advantageous
  • Previous long-term claims administration experience would be advantageous

So, what’s in it for you?

  • Bonus Schemes – A bonus that regularly rewards you for your performance
  • Retirement support – We will match your contributions up to 5% of your salary
  • Health & wellbeing – Discovery Medical Health Scheme
  • Financial protection - Life assurance, income protection and short and long-term disability insurance

These are just some of the many perks that we offer! To view the extensive range of benefits we offer, please visit our careers page. Fantastic Benefits. Exciting rewards. Great career opportunities!

If you are successful in your application and join us at Vitality, this is our promise to you, we will:
  • Help you to be the healthiest you’ve ever been.
  • Create an environment that embraces you as you are and enables you to be your best self.
  • Give you flexibility on how, where and when you work.
  • Help you advance your career by playing you to your strengths.
  • Give you a voice to help our business grow and make Vitality a great place to be.
  • Give you the space to try, fail and learn.
  • Provide a healthy balance of challenge and support.
  • Recognise and reward you with a competitive salary and amazing benefits.
  • Be there for you when you need us.
  • Provide opportunities for you to be a force for good in society.

We commit to all these things because we want you to feel that you belong, and are supported to be happy and healthy.

About Us

Vitality South Africa plays a key role in the development and delivery of the shared‑value insurance model within the Discovery Group. The team leads key strategic initiatives in the South African market, strengthens alignment across the organisation, and ensures the successful implementation of Vitality’s health and wellness programmes. In addition, the team provides specialised expertise, cutting edge technology, behavioural science and health and wellness, drawing on both global innovation and local market insight. Roles within Vitality South Africa are dynamic and fast‑paced. As such, we are seeking individuals who are adaptable, solutions‑oriented, and capable of delivering high‑quality, sustainable value in a complex and evolving environment.
Employment Equity:
The Company’s approved Employment Equity Plan and Targets will be considered as part of the recruitment process. As an Equal Opportunities employer, we actively encourage and welcome people with various disabilities to apply.

Skills

Telemarketing - CUSTOMER SERVICE, Telemarketing - Income Protection, .Hard Skills - Life Insurance, .Hard Skills - Administration, .Hard Skills - Reporting, .Hard Skills - delivery , .Hard Skills - Microsoft

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