Commercial Claims Technician

2 weeks ago

Johannesburg, Gauteng, South Africa Mirror Images Full time
Gauteng, JHB - Western Suburbs

  • R Monthly Cost To Company (Plus Provident fund and Life Group cover. )
An Insurance company based in Rivonia/Sandton is currently seeking a Commercial Claims Technician (Motor and Non motor) to ensure the accurate capturing, processing and finalisation of all Commercial Claims

RECOMMENDED QUALIFICATIONS:
Matric, FAIS compliant (within prescribed deadline)

Successfully passed RE 1

Minimum five years relevant work experience in short term insurance claim settlement (Commercial claims, Motor and Non-Motor). Motor Agg's / Co-insurers / XOL Insurance / Assets based policies.

COMPETENCIES REQUIRED TO PERFORM OUTPUTS AND ROLES ASSOCIATED WITH THESE OUTPUTS:
Results oriented

Commitment

Proficiency

Continuous Learning

Honesty and Integrity

Adaptable to change

Strategic thinking

Team player

Goal oriented

Coaching and consulting

Time management

Communication skills

Ability to build good relationships

Work well under pressure

Claims Handling

Managing own area of control

Registering of new claims:


Register all new claims received (as outlined in the registration SOP) and raise an appropriate reserve as outlined in the reserving methodology.

All claims received must be registered on the claims system within 24 hours.

All claims received after 15:00 must be registered before 12:00 on the following business day

Action any immediate claims processing requirements in accordance with the relevant Claims procedure manual i.e. Appointment of specialist (assessor/adjuster/repairer/supplier)

Diarise all newly registered claims for the next appropriate action date i.e. to follow up on specialist report/ outstanding documentation to ensure claims processing happens timeously

Continuously update the claims activity TAB in respect of all actions taken on the claim

Regular liaison and communication with broker/ client on progress of the claim

Attend to all queries received relating to "in-progress" claims timeously as per company turn-around times

Action any claims processing requirements on receipt of new claims information, within the prescribed company turn-around times

Amend reserves in accordance with reserving methodology and new information received

Diarise all "in-progress" claims for the next appropriate action date to ensure claims processing happens timeously

Continuously update the claims activity TAB in respect of all actions taken on the claim

Regular liaison and communication with broker/ client on progress of the claim

Action current day diary/ User note:
Attend to all current day diary and user note items timeously as per company turn-around times

Action any claims processing requirements as outlined in the diary or user note item, within the prescribed company turn-around times

Amend reserves in accordance with reserving methodology based on the action of the diary or user note item

Re-diarise(where necessary) all "in-progress" claims for the next appropriate action date to ensure

claims processing happens timeously

Continuously update the claims activity TAB in respect of all actions taken on the claim

Regular liaison and communication with broker/ client on progress of the claim

"In-Progress"/ Outstanding claims:


Action any claims processing requirements in respect of the "In-Progress"/ Outstanding claims as per the target provided by the Team Leader.

(daily)

Amend reserves in accordance with reserving methodology based on the action required on the claim

Diarise (where necessary) all "in-progress" claims for the next appropriate action date to ensure claims processing happens timeously

Continuously update the claims activity TAB in respect of all actions taken on the claim

Regular liaison and communication with broker/ client on progress of the claim

Provide daily feedback on actioned claims (as per the target agreed) to the Team Leader

  • Ensure invoices and Agreements of loss are processed for payment in accordance with SOP and Management requirements
Finalise/ Settle claims in accordance with relevant company claims procedure

Managing own area of control:

Ensure that accurate record is kept of all new matters received in the dept.

Maintaining professional behavior and work ethic at all times

Display personal accountability for own actions, quality of work and personal development

Ensure that all deadlines are met

Exhibit Core Values at all times (Professionalism, Integrity, Perseverance, Positive Attitude)

Keeping to prescribed hours/ timekeeping

Team player and adhere to the backup arrangement as required by department to ensure cohesion

  • For more information please contact:
  • Stuart Boden

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