SOUTH AFRICA · SALARY IN RANDS

Insurance Claims and Policy Processing Clerks

What the work involves, the skills employers want, and how to get started in South Africa.

  • Claims Adjudicator
  • Claims Analyst
  • Claims Clerk
  • Claims Customer Service Representative (Claims CSR)
  • Claims Processor
  • Claims Representative (Claims Rep)
  • Claims Technician (Claims Tech)
  • Insurance Analyst

What do Insurance Claims and Policy Processing Clerks do?

Insurance Claims and Policy Processing Clerks are administrative professionals who play a crucial role in the insurance industry by handling various tasks related to claims processing and policy administration. Their primary responsibilities include reviewing and processing insurance applications, gathering pertinent information, and assisting in the documentation and assessment of insurance claims. They often work closely with policyholders, insurance agents, and claims adjusters to ensure that transactions are conducted smoothly and efficiently. These clerks are responsible for maintaining accurate records, verifying policy details, and facilitating communication between all parties involved in the insurance process. This role requires attention to detail, strong organizational skills, and a good understanding of insurance policies and regulations.

What the work actually is

  • Prepare insurance claim forms or related documents, and review them for completeness.
  • Calculate amount of claim.
  • Post or attach information to claim file.
  • Transmit claims for payment or further investigation.
  • Contact insured or other involved persons to obtain missing information.

Skills employers expect

Skills

  • Reading Comprehension Understanding written sentences and paragraphs in work-related documents.
  • Time Management Managing one's own time and the time of others.
  • Speaking Talking to others to convey information effectively.
  • Active Listening Giving full attention to what other people are saying, taking time to understand the points being made, asking questions as appropriate, and not interrupting at inappropriate times.
  • Critical Thinking Using logic and reasoning to identify the strengths and weaknesses of alternative solutions, conclusions, or approaches to problems.

Abilities

  • Oral Comprehension The ability to listen to and understand information and ideas presented through spoken words and sentences.
  • Written Comprehension The ability to read and understand information and ideas presented in writing.
  • Near Vision The ability to see details at close range (within a few feet of the observer).
  • Oral Expression The ability to communicate information and ideas in speaking so others will understand.
  • Speech Clarity The ability to speak clearly so others can understand you.

Knowledge

  • Customer and Personal Service Knowledge of principles and processes for providing customer and personal services. This includes customer needs assessment, meeting quality standards for services, and evaluation of customer satisfaction.
  • Administrative Knowledge of administrative and office procedures and systems such as word processing, managing files and records, stenography and transcription, designing forms, and workplace terminology.
  • English Language Knowledge of the structure and content of the English language including the meaning and spelling of words, rules of composition, and grammar.
  • Computers and Electronics Knowledge of circuit boards, processors, chips, electronic equipment, and computer hardware and software, including applications and programming.

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How people get into it

Education of new hires

High school diploma or equivalent
or: GED, High School Equivalency Certificate
Associate's degree
Some college, no degree

A normal week

  • Working with Computers
  • Getting Information
  • Processing Information
  • Communicating with Supervisors, Peers, or Subordinates
  • Documenting/Recording Information

Tools used on the job

Tools

  • Desktop calculator 10-key calculators
  • Dictation machines
  • Desktop computers
  • Personal computers

Who it suits

Conventional

Work involves following procedures and regulations to organize information or data, typically in a business setting. Conventional occupations are often associated with office work, accounting, mathematics/statistics, information technology, finance, or human resources.

Enterprising

Work involves managing, negotiating, marketing, or selling, typically in a business setting, or leading or advising people in political and legal situations. Enterprising occupations are often associated with business initiatives, sales, marketing/advertising, finance, management/administration, professional advising, public speaking, politics, or law.

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Questions people ask

How much do Insurance Claims and Policy Processing Clerks earn in South Africa?

Insurance Claims and Policy Processing Clerks salaries in South Africa vary by experience, province and employer.

What do Insurance Claims and Policy Processing Clerks do?

Prepare insurance claim forms or related documents, and review them for completeness, Calculate amount of claim and Post or attach information to claim file.

How do I know if this career fits me?

Take the free Assessify career assessment. It matches your answers to careers and shows the South African salary next to each one.