Senior Claims Consultant

2 weeks ago


Cape Town, Western Cape, South Africa Status Staffing Full time

Western Cape, Cape Town**
(Market related)


Our client based in Cape Town is looking for a Senior Claims Consultant that has their RE5 and is FAIS compliant with 3 years commercial claims experience.


EMPLOYMENT TYPE :
Permanent

SECTOR :
Insurance

BASIC SALARY :
Market Related

START DATE :
A.S.A.P / Immediate

REQUIREMENTS:

  • 3 years commercial claims experience
  • Microsoft Office (Word, Excel)
  • CIMS advantageous
  • Matric or equivalent qualification


RE
  • NON NEGOTIABLE
  • FAIS compliant (credits and/or full qualification)

DUTIES:

  • Ensure appropriate minimization of claims and claims expenses
  • Ensure and contribute to minimization of general expenses
  • Ensure that all stakeholder (e.g. clients, AE's, insurers) communication is accurate, timeous, professional and relevant
  • Build and maintain mutually beneficial relationships with internal (e.g. account executives) and external (e.g. clients) stakeholders
  • Keep client informed regarding to progression of the claim
  • Ensure and contribute to achieving the required client satisfaction targets
  • Claims Administration
  • Receive claims notification, and send and obtain any relevant forms or documents as may be required
  • Administer complete claims process according to defined claims procedures until claims are settled
  • Appoint assessor or loss adjustor
  • Keep internal system and records up to date at all times
  • Keep relevant internal stakeholders up to date on the progress of registered claims
  • Make assessment of claims validity and estimate value and administer mandated claims
  • Forward claims in excess of mandate to insurer
  • Obtain quotes for services
  • Arrange approval and payment for claims costs in line with claims and cover
  • Act as intermediary between insurer and client and timeously relay communication, requests and documentation
  • Follow the recoveries process, diarize followups and keep clients informed
  • Ensure productivity targets are met
  • Contribute towards and ensure continuous improvement in own and team performance
  • Adhere to company mandates
  • Participate and contribute in ad hoc projects
  • Report any suspected fraud, misrepresentation and/or dishonesty
  • Keep accurate record of own activities
  • Live the RBS values by committing to the organizational values
  • Ensure continuous selfdevelopment
  • Share information and knowledge with the team

HOURS:

  • Mon
  • Fri: 08:00 16:30
  • For more information please contact:
**Rozané Coleske

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