Short Term Insurance Claims Processor

2 weeks ago


Cape Town, Western Cape, South Africa Third Age Group Full time

Do you have short term insurance experience as a claims negotiator, do you love problem solving and working with a team.

If you like a to grow and work with a team? This is the position for you.

Requirements:

  • Previous experience in the short term insurance industry as a claims handler or negotiator;
  • Attention to detail;
  • Computer Literate;
  • Excellent communication skills;
  • System knowledge (Tial, Roc, System A) advantageous.

Duties and Responsibilities:

  • Ensure correct information is obtained from the customer by asking the appropriate questions and listening to make correct decisions
  • Use appropriate tools (TIAL, supplier contact and / or negotiation) to accurately cost the claim, and make informed and appropriate decision which is correct for the business and reasonable for the customer
  • Remain up to date (have good general knowledge of) with insurable goods, and knowing where to find appropriate information
  • Ensure claims are finalised within set parameters (turnaround time, terms and conditions applied accurately).
  • Ensure regular feedback to customers and other stakeholders, as determined by the company and/ or customer requirements.
  • Building and maintaining relationships, and liaising with key stakeholders (e.g. Assessors, Panel beaters, Brokers, Legal, suppliers etc.) to meet job objectives.
  • Taking accountability for full resolution of claims processes (incl. the communication of the outcome of the claim), to deliver a quality service to, and retain, customers.
  • Take accountability for the resolution of customer complaints, with a view to customer retention.
  • Be innovative and use judgement to solve unique or unusual customer situations outside set parameters, with a view to customer retention.
  • Deliver on Treating Customers Fairly principles in alignment with regulatory requirements
  • Approval and payment of claims up to assigned mandate.
Application Deadline: 2024/04/06

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