Claims Services

Found in: beBee S ZA - 4 weeks ago

Cape Town, South Africa Marsh Full time
The Claims Services - Senior Consultant position exits within the Cape Town Team. The position offers an exciting challenge and career opportunity for someone who is willing to work hard and contribute to growth and development.

We will count on you to:

  • Review and understand incoming documentation seeking guidance or advice where necessary
  • Identify all potential policies and coverages, seek validation where necessary, and advice where uncertain or clarification required
  • Promptly enter or update claims information into appropriate claims application(s) in compliance with any local service standards
  • Distribute (report) new claim notifications, or updates, to all insurers for all policies or coverages
  • Communicate with clients, colleagues, third parties or insurers for status updates, information requests, instructions or query resolution
  • Provide support for procedural guidance to clients and facilitate information requests between insurers and clients
  • Prepare settlement documentation and where appropriate facilitate collection of claims monies
  • Monitor incoming (& outstanding) funds from insurers and other relevant parties (aggregates/floats/funds ) , prepare payment requisitions and where applicable to facilitate payment to client/beneficiary
  • Adhere to compliance/regulatory requirements, or Marshâs Professional standards to maintain quality & avoid potential Error & Omission (E&O) situations
  • Build and maintain effective relationships with clients, colleagues, third parties or insurers
  • Effectively communicate with clients, colleagues, third parties or insurers as appropriate at all times, and as per local procedures
  • Ensure all applicable claims applications, records and files are kept up to date at all times
  • Manage a portfolio of complex or significant value claims, or client transactions.
  • Provide guidance to and manage multiple stakeholders in the management of complex claims

What you need to have:

  • At least Secondary or High School qualifications required
  • Diploma or university degree preferred (or equivalent experience)
  • Minimum 10 yearsâ work experience
  • Minimum of 5 years Non-Motor corporate claims handling experience
  • All Lines of Business experience
  • Self-insurance / Aggregates claims handling knowledge.
  • Clear and concise oral and written communication skills
  • Excellent organization skills â able to prioritize work and meet deadlines
  • Excellent interpersonal skills â able to work within a team
  • Comfortable and experience working with technology (solutions)
  • Proficient in Microsoft Office tools
  • Insurance/ claims handling knowledge
  • Insurance market, clients and claims management skills related to area of expertise
  • FAIS Accreditation

What makes you stand out:

  • RE Examinations â beneficial
  • Relevant industry practice or Line of Business experience
  • Strong networking skills
  • Experience with ClearSight

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