Overview
Claims Processor / Admin – 36147478934 Jobs in South Africa at Somewhere
Title: Claims Processor / Admin – 36147478934
Company: Somewhere
Location: South Africa
Claims Processor / Admin (2 Remote Roles)
Location: Remote (South Africa)
Salary: $1200 – 2000
Positions: 2
Time Zones
Role 1: 9:00 AM – 5:00 PM EST
Role 2: 5:00 PM – 1:00 AM EST
About The Company
The company is celebrating its 10th year, evolving towards a more process-driven, efficient model by integrating remote assistants and AI tools. Our licensed in-office adjusters will manage remote claims processors who handle critical support tasks, freeing up time for higher-value work.
Role Summary
We are seeking two experienced Claims Processor / Admin professionals to support our claims intake, data management, client communication, and reporting processes. These roles require strong administrative skills, insurance industry knowledge, and proficiency in Mac environments and Excel. Both positions will report directly to Mike and Christian.
Key Responsibilities
Process and manage insurance claims data with accuracy and attention to detail
Conduct calls to insurance companies for claim updates and client follow-ups
Maintain and update claim information in CRM systems (Claim Wizard) and Dropbox
Use AI-powered tools to streamline workflow and data entry
Prepare and deliver daily reports to in-office claims processors
Organize and maintain electronic file systems, including renaming and filing documents
Communicate professionally with clients and internal teams
Support a paperless office environment using Adobe and DocuSign
Collaborate through internal communication tools (iMessage currently; transitioning to Slack or Microsoft Teams)
Use Dialpad for phone communications within a Mac-based office ecosystem
Candidate Requirements
Minimum mid to senior level experience in claims processing, insurance, or related admin roles
Strong Mac OS proficiency and advanced Excel skills
Prior experience with claims processing software, JotForm, Dropbox, and CRM systems
Excellent verbal and written English communication skills (South African accent preferred)
Demonstrated ability to work remotely for 2+ years
Strong phone manner and customer service skills
Exceptional file management and organizational skills
Knowledge of mortgage loan processing or restoration/public adjusting background is a plus
Ability to handle sensitive client information in a secure, paperless environment
Tools and Software
Claim Wizard (CRM)
Dropbox (file management)
JotForm (data and forms)
Dialpad (phone system)
Adobe Acrobat and DocuSign
Excel (advanced)
Internal communication via iMessage, transitioning to Slack or Microsoft Teams
