Claims and Customer Care Consultant

2 weeks ago


Cape Town, Western Cape, South Africa Job Crystal Full time

SPECIFICATION
A global InsureTech business is looking for a Claims and Customer Care to join their AU and NZ Team, but the position will be SA based (Working hours are 00h30 to 09h30)


The business provides an end-to-end service where they facilitate the whole process from contacting the client to gathering information/evidence, reviewing and validating the evidence, quoting on the correct replacement/s, and then facilitating the replacement process.


You will have to manage and deliver a superior claims service to ensure that all claims are investigated and settled within the limits of the policy coverage.

Provide support to the AU / NZ team by providing technical claims and bicycle knowledge.

DUTIES & RESPONSIBILITIES, NOT LIMITED TO:

  • Manage the end to end claims process from lodgement to settlement.
  • Day to day management of claim lodgements, customer inquiries and validating reported insurance claims.
  • Answer incoming calls and provide customers with empathy, certainty, guidance and support from lodgement to final resolution of claim situations and inquiries.
  • Provide accurate advice to customers and clear instructions of the next steps of what we will do and what we need the customer to do.
  • Identify potential fraudulent claims and follow agreed policies and procedures.
  • Effective communication with internal and external customers.
  • Ensure that customers and suppliers/service providers, including assessors and repairers, are contacted in a prompt, courteous and knowledgeable manner.
  • Resolve complaints and disputes from clients, suppliers or service providers within agreed service levels.
  • Authorise claim payments within the approved delegated authority of the position.
  • Ensure that claims are processed in accordance with policy guidelines, company procedures, approved suppliers and industry laws and guidelines.
  • Effective and accurate notes on electronic claim files.
  • Ensure claims decisions are technically sound and communicated appropriately to all customers and stakeholders.
  • Manage individual productivity, to ensure that all work is completed daily including telephone calls, tasks and claims.

REQUIREMENTS:

  • If you have knowledge of the cycling industry, some insurance experience, or have completed a 3 year degree, you may be the one we're looking for.
  • If working for an International Company, learning about Bicycle and Cyclist Insurance and engaging with likeminded cycling addicts appeals to you, please get in touch.
  • Can work remote from anywhere in South Africa

Ability to commute/relocate:

  • Cape Town,

Western Cape:
Reliably commute or planning to relocate before starting work (required)

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