![Talksure](https://contents.bebee.com/companies/za/talksure/avatar-rOwlp.png)
Claims and Partner Liaison
2 weeks ago
MAIN PURPOSE OF THE ROLE
Manage and support the customer service function relating to Claims, partners, and complaints handling.
Responsible to plan, coordinate and control the activities between the various partners and Talksure, to maintain and enhance customer experience; and meet SLA's and organization objectives.
DUTIES AND RESPONSIBILITIES
Area Management
- Ensure compliance performance objectives are met.
- Handle the complex/ombud customer complaints, social media/Hello Peter complaints and/or enquiries including reckless lending enquiries or allegations.
- Ensure a quality management process is maintained that prevents reputation risk.
- Actively manage processes to ensure clients queries are handled within SLA.
- Develop and improve standard operating procedures within the Customer service Department.
- Ensuring clients are surveyed for customer satisfaction, cancellations, complaints, claim etc
Stakeholder Liaison
- Ensure the team is briefed on priorities, changes, and strategies for each relevant campaign.
- Liaising with partners and service providers as required, ensure objectives and deliverables are met e.g. Insurers & internal departments e.g. finance, compliance & IT.
- Ensure all Partner queries are responded to appropriately and within SLA.
- Drive learning from complaints on service delivery internally and externally.
- Meet with partners on a regular basis to present lowlights and highlights.
- Manage the customer experience initiatives.
Claims Management
- Monitor level of payments on claims and refunds, identify trends and minimise business risk.
- Ensure principles of TCF are maintained in handling claims / refunds.
- Develop processes in line with the business needs, supporting the enhancement and development of claims processes.
- Address poor performance by partners and report accordingly.
- Feedback to business on partner and or service provider performance Ensure principles of TCF are maintained in handling claims / complaints.
Trends and highlights
- Discuss trends & report on critical business measures to the Complaints manager and business.
- Manage an effective reporting framework to measure and monitor partner performance and achieve contracted operational business targets.
- Prepare reports for different departments and or management.
Process improvements
- Use data and reports to drive process improvements.
- Project manage improvements and insights to provide better customer experience.
- Suggest improvements on productivity and product offerings based on internal and external trends.
- Identify Route Cause issues and escalate accordingly.
- Track progress on improvements and feedback on results
- Identify and highlight exceptions and anomalies in performance against commission payments.
QUALIFICATIONS AND EXPERIENCE REQUIRED
- Matric
- Regulatory Certification + Insurance related qualification, preferable
- Diploma NQF 5 preferable
- 1 year experience within the financial services sector
- 1 year claims management experience
- Intermediate level for MS Office Strong Data Analysis capabilities.
- Ability to act as a financial services representative with placement onto the company FSCA rep register
BEHAVIOUR AND COMPETENCIES REQUIRED
- Operational Management
- Communication with Internal and External stakeholders
- Claims Management
- Monitoring and reporting
- Participate in group leadership activities
Remuneration:
A market related package including benefits
-
Insurance Claims Administrator
2 weeks ago
Durban, KwaZulu-Natal, South Africa Luanne Richard and Associates Pty Ltd Full timeMinimum requirements RE5 certificate Insurance qualification (preferable at least NQF level / 150 credits)) 5 years commercial claims experience including HCV/GIT Microsoft Office (Word, Excel, Outlook) Strong administration and communication skills, both written and verbal Excellent interpersonal skills Excellent customer service orientation Own...
-
Client Liaison Officer
2 weeks ago
Durban North, KwaZulu-Natal, South Africa Salt Employee Benefits Full timeThis incumbent is responsible for fulfilling the role of a liaison officer between the members of the Fund and the Fund's service providers, the functions include but are not limited to:· Host Fund presentations for members, union officials, employers, and other identified stakeholders at approved site.· To ensure end to end service delivery on behalf of...
-
Claims Assessor: Life
2 weeks ago
Durban, KwaZulu-Natal, South Africa Datafin Full timeENVIRONMENT:A highly meticulous & solutions-driven Claims Assessor: Life is sought by a dynamic provider of cutting-edge and economical business solutions, headquartered in KwaZulu-Natal. Your core role will be to validate, evaluate, make the correct assessment decision, and calculate the correct settlement for CPP (Life) Claims assessed. You will check the...
-
Pricing Claims Specialist
2 weeks ago
Durban, KwaZulu-Natal, South Africa Unilever Full timeJob Title: Pricing Claims SpecialistReports to: Promo & Pricing LeadFunction / Sub-Function: Customer Operations / Order To CashWork Level: WL1CLocation: La LuciaBackground:iOps is focused on transforming the way we work to create exceptional experiences across Unilever's wider ecosystem encompassing markets, customers and Partners. Through leveraging...
-
Customer Liaison Officer
2 weeks ago
Durban, KwaZulu-Natal, South Africa Staff Solutions Full timeKwaZulu Natal, Durban**Negotiable - Negotiable Monthly Cost To Company (Market related)VACANCY ALERTOur client in the renewable energy sector, based in Durban, seeks to employ a Customer Liaison Officer.Duties:Order Processing:***- Contacting customers daily as per calling schedule.***: - Receive calls & orders from customers.***: - Liaison with the Business...
-
Project Liaison Officer
2 weeks ago
Durban, KwaZulu-Natal, South Africa Ethekwini Municipality Full timeTo provide a communication liaison service between the community and the project manager on all technical and social issues. Key Responsibility Areas Facilitates communication between the community and project manager.Undertakes initial base line registers of project beneficiaries and conducts community demographic surveys.Oversees contractual obligations...
-
Human Resources Business Partner
2 weeks ago
Durban, KwaZulu-Natal, South Africa Recruitment and Consulting Specialists Pty Ltd Full timeKey Responsibilities:Employee RelationsAdvise and support line manager with regards to all ER queries including misconduct, performance improvement, disabilities, disciplinary enquiries and CCMA casesEnsure all ER procedures meet both procedural and substantive fairness principles and are in line with Business policy and current legislation in order to...
-
Medical Claims Administrator
2 weeks ago
Durban, KwaZulu-Natal, South Africa Total IT Recruitment Full timeWell reputable company is looking for a Medical Claims Administrator to join their dynamic team. The purpose of this role is to deliver an efficient, consistent and accurate administrative medical debt service to our clients. You will also provide the Doctors with monitoring and bureau reports that will allow him/ her to have real time data on the financial...
-
Multi-skilled Claims Investigator
2 weeks ago
Durban, KwaZulu-Natal, South Africa Momentum Insure Company Limited Full timeIntroduction Through our clientfacing brands Metropolitan and Momentum, with Multiply (wellness and rewards programme),Role Purpose To contribute to the organisational goals by investigating, negotiating and administering claims. Identify and prevent fraudulent claims and manage expenditure on settled claims.Requirements: Matric FAIS accreditation or a FAIS...
-
Community Liaison Officer
2 weeks ago
Durban, KwaZulu-Natal, South Africa THINK Full timeTHINK is a non-profit organisation dedicated to improving the lives of those affected by TB and HIV. As a health delivery and research organisation, THINK engages with the local community, government consortia, and international funders to provide care for over 100,000 people in KwaZulu-Natal and carry out cutting-edge clinical research that has already...
-
Senior Claims Handler
2 weeks ago
Durban, KwaZulu-Natal, South Africa Scorpion Legal Protection (RF) Pty Ltd Full timePURPOSE OF THE POSITION AND KEY RESPONSIBILITIESThe purpose of this position is to assist members (clients) with legal advice and paralegal solutions to common problems within the parameters set by the Company and the Scorpion Legal Protection Membership Agreement.Key Responsibilities include, but are not limited to the following:Drafting & Attending to...
-
Durban, KwaZulu-Natal, South Africa Vopak Full timeDurban Human Resources 40 hoursDescription ofthis vacancy:Start your career as an IR & Community Liaison Specialist at Vopak and contribute to social themes such as energy security and energy transition. We offer you a working environment that is safe and pleasant and where equality, diversity and satisfaction are of paramount importance.As an IR & Community...
-
Community Liaison Officer
2 weeks ago
Durban, KwaZulu-Natal, South Africa THINK TUBERCULOSIS & HIV INVESTIGATIVE NETWORK NPC Full timeTHINK is a non-profit organisation dedicated to improving the lives of those affected by TB and HIV. As a health delivery and research organisation, THINK engages with the local community, government consortia, and international funders to provide care for over 100,000 people in KwaZulu-Natal and carry out cutting-edge clinical research that has already...
-
Claims Administrator in Short-term Insurance
2 weeks ago
Durban North, KwaZulu-Natal, South Africa AOS WEALTH (Pty )Ltd Full timeType of employment: Fixed term contract thereafter.Salary:R8000 - R10000 (Dependent on qualification and experience)Transport: Driver's Licence and own vehicle (preferred)Minimum Requirements: Matric University Degree or Diploma preferred NQF4 Short Term Insurance (150 FAIS credits)- RE5 essential - submit with resume:Min 2 years' experience. Excellent...
-
Claims Administrator in Short-term Insurance
2 weeks ago
Durban North, KwaZulu-Natal, South Africa AOS WEALTH (Pty )Ltd Full timeONLY CANDIDATES WITH THE REQUIRED EXPERIENCE TO APPLY.Type of employment: Fixed term contract thereafter.Salary:R8000 - R10000 (Dependent on qualification and experience)Transport: Driver's Licence and own vehicle (preferred)Minimum Requirements: Matric University Degree or Diploma preferred NQF4 Short Term Insurance (150 FAIS credits)- RE5 essential -...
-
Snr Hr Business Partner
2 weeks ago
Durban, KwaZulu-Natal, South Africa The Recruitment Guy Full timeNEW EMPLOYMENT AVAILABLE Title: Snr. HR Busines Partner (Practitioner)Area:Richards Bay Industry: Mining / Construction Sector HR experience required Ref No: TRG 2170Salary: Market related TCTC avail/negStart Date: As soon as possible An opportunity for an experienced SNR. HR BUSINES PARTNER (PRACTITIONER) is required for permanent employment based in...
-
Hr Business Partner Durban
2 weeks ago
Durban, KwaZulu-Natal, South Africa New World Personnel Consultants Full timeThese jobs were popular with other job seekersWe have a 6 month FTC position for a Human Resources Business Partner based in UmhlangaKey Purpose:Responsible for creating and enabling environment to drive performance and employee engagement across the respective departments within the company. This will be achieved by partnering with management and business...
-
Pa to The Executive
2 weeks ago
Durban, KwaZulu-Natal, South Africa RJPersonnel Full time2yearsFull functions of an Executive P.A.Administrative management and general day-to-day running of the office.Extensive planning and organizing of electronic diary and scheduling of appointments, meetings, tasks, functions, events and team builds.Reservation of domestic and international travel arrangements and liaison with representatives of the travel...
-
Employee Benefits
2 weeks ago
Durban, KwaZulu-Natal, South Africa Afrizan People Intelligence Full timeJOB DESCRIPTIONOur client in the Benefit Fund Administration Industry is looking for enthusiastic and passionate Claims Consultants, with experience dealing with Death, Retirement and Trust Claims. The purpose of this role would be to provide specialist advise and support ensuring that claims are paid out as accurately and timeously as possible.Job...
-
HR Business Partner
2 weeks ago
Durban, KwaZulu-Natal, South Africa TB HIV Care Full timeJob Advert Summary:Purpose of the position:The HR Business Partner (HRBP) position is responsible for aligning business objectives with employees and management in designated programmes and areas. The position formulates partnerships across the HR function to deliver value-added service to management and employees that reflects the business objectives of the...