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Claims Fulfillment Consultant
2 weeks ago
General:
Job Title
- Claims Fulfillment Consultant
Job Category - Financial & Accounting
Location - Kwa-Zulu Natal
Employment Type - Permanent
Area - Durban
Bee status - Include All
Salary - Market Related
Min Salary - Not Set
Max Salary - Not Set
Expiry Date - 30th June 2024
Deadline Date - 31st May 2024
Experience - Experience Required
Introduction:
Description:
Claims Processing
Plan, Communicate, Solve Problems, And Carry Out Decisions Effectively.
This includes but is not limited to:
Internal Daily relationships with:
- Finance Division to improve on service delivery issues regarding payment authorizations
- Policy Administration for advice of any policy amendments, client queries/requests, and complaints resolution
- Insurance Customer Contact Centre to provide and assist with advice on any noted anomalies or trends that could affect the processing of new claims and identify risks associated if any
- Management and peers to provide daily interactions about any contentious matters and or report on urgent claims that require attention or authorization
- Procurement Manager, to ensure that service providers strictly adhere to the current service level agreement
- Claims Fulfillment Manager, to guide, assist, mentor and advice you of all matters that can assist you with your growth. Communication will also be provided by your first line report in terms of urgent claims that require attention or authorization
- Operations Manager, to guide, assist and advice you through your first line report, in line with your growth and any other communication in terms of your claims E
External Daily relationships with:
- provide exceptional customer experience throughout the customer journey and assist by providing professional peace of mind while dealing with queries or providing feedback proactively.
- Panel or nonpanel service providers; relationships ensure professional customer service interaction, with loss adjusters, quantity surveyors, forensics experts, etc. and various specialists required to complete the successful of a claim.
- Internal and external auditors to provide assistance during interim or final company audits. F. Values and Self-Development
- It is critical that pride in the company's mission, vision, and values be taken seriously. It is critical that you take charge of your own personal development and career path. You must follow and adhere to the company's code of ethics; doing so improves the reputation and brand of yourself, your department, and your company.
- You must comply with and adhere to the organization's and regulatory boards' regulations and legislation. You must understand, support, and live the organization's Amazing Service Culture. You are to carry out fair and reasonable instructions that are given to you within the prescribed turnaround time, whether written or verbal, as noted in the operational manual, regulatory boards, operating procedures, and processes, to ensure that we achieve only the best outcome for and in the interest of the customer and the business.
Education Profile:
- Matric Preferred Qualification:
- Insurance related qualifications
- Short Term Insurance NQF
- RE5
- 4 years Claims experience, preferably Homeowners/Building Claims experience.
- 5 years Short Term Claims Insurance related experience, preferably with Homeowners/Building experience
Application Instructions:
Contact Details:
Contact Name
- Ronal
Contact Phone
-
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