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Crystal
Insurance Claims Administrator/Office Manager
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Competencies
Demonstrated experience with Problem-Solving and Adaptability.
Demonstrated experience with Communication and Interpersonal Skills.
Demonstrated experience with Short-Term Insurance Claims Processing.
Demonstrated experience with Claims Investigation & Documentation Review.
Demonstrated experience with Risk Assessment & Decision-Making.
Education
Languages
Summary
Insurance Claims Administrator/Office Manager open to new opportunities
Experience
Insurance Claims Administrator/Office Manager
Managed end-to-end short-term insurance claims, liaising directly with major insurers including Discovery Insure and Outsurance.. Acted as primary point of contact for clients throughout the claims and private repair process.. Coordinated assessor appointments, prepared and submitted quotations to insurers, and monitored claim progress via insurer portals.. Ensured strict adherence to insurer Service Level Agreements (SLAs) and resolved escalated complaints efficiently.. Invoiced insurers and private clients, ensuring accurate billing and timely payments.. Oversaw booking and scheduling of all repair work for insurance and private projects.. Supervised office and sales staff, maintaining workflow efficiency and performance standards.. Assisted with general office management, including stock procurement and supplier coordination.. Processed weekly wages and compiled biannual wage reports for accounting purposes.. Captured and submitted staff working hours via WARP system to the Furniture Bargaining Council.. Conducted interviews, reference checks, and issued disciplinary documentation where required.. Represented the company at CCMA hearings.. Managed Director’s diary, legal documentation, travel arrangements, and confidential correspondence.. Oversaw company marketing efforts, including social media management and client communications.
Claims Consultant
Managed high-volume short-term claims, ensuring accurate end-to-end processing from claim registration to settlement.. Interpreted policy wordings and validated coverage in line with FAIS and regulatory requirements.. Assessed supporting documentation, quotations, and loss reports to determine claim validity and next steps.. Liaised with brokers, clients, assessors, panel beaters, and service providers to drive timely claim resolution.. Maintained strict adherence to SLAs and internal KPIs within a fast-paced environment.. Handled escalated queries and complex claims with professionalism and sound judgment.. Ensured detailed and accurate system capturing to minimize errors and prevent financial risk exposure.