Junior Claims Clerk

A reputable company based in the West Rand requires a Junior Claims Clerk DUTIES: Capture new geyser claims on the system with accurate client, policy, and incident details. Verify policy status, cover type, excess amounts, and waiting periods before processing. Allocate claims to assessors, plumbers, or service providers based on location and urgency. Maintain updated claim notes, documentation, and correspondence on the claims platform. Request and review required documents such as photos, plumber reports, invoices, and proof of ownership. Confirm cause of damage (burst, leak, thermostat failure, corrosion, etc.) against policy wording. Check for possible exclusions, pre-existing damage, or non-compliance with installation standards. Validate quotations and ensure they align with insurer-approved rates. Contact policyholders to explain the claims process, required documents, and next steps . Liaise with plumbers, assessors, and suppliers to schedule inspections or repairs. Provide claim status updates and manage expectations regarding timelines and approvals. Handle basic queries, escalate complex issues to senior claims handlers when necessary. Capture approved payments, including plumber call-out fees, replacement geyser costs, and reinstatement work. Ensure excesses are correctly applied and communicated to the client. Reconcile invoices and check for discrepancies before payment. Monitor turnaround times and follow up on outstanding reports or documents. Assist with logging supplier performance issues or delays. Support senior claims consultants with bulk claims during peak seasons (e.g., storms, winter). File, archive, and maintain claim records in line with compliance requirements. Adhere to internal claims procedures, SLA requirements, and regulatory standards. Flag suspicious or potentially fraudulent claims for further investigation. Ensure all communication and documentation meets audit and compliance standards. REQUIREMENTS: Grade 12 Previous experience advantageous Customer Service and detail orientated Fully computer literate MS OFFICE