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Claim Consultant

3 months ago

Pretoria, Gauteng, South Africa JSM Business Services Full time
Claim Consultant / Administrator

ROLE AND RESPONSIBILITIES

  • Management of calls in a professional and efficient manner
  • Follow up calls where and when needed
  • Building professional relationships
  • Handling all information on basis of trust
  • Dealing with clients and processes in line with company procedures
  • Optimal use of the "Call Centre" computer system
  • Follow the correct DC Credit Protect procedures
  • Complete the appropriate forms
  • Maintain professional interaction with AU and Banks
  • Prevent duplicate payments
  • Maintain good relationships with insurance companies and banks
  • Registration of claims.
  • Gathering all relevant supporting documents to further the claims process.
  • Information must be submitted to Insurers immediately upon receipt & excess all SLA timeframes.
  • Daily follow up on claims process with the Insurer.
  • Daily telephonic & written feedback to DCCP clients until claim is finalized.
  • Improving turnaround times on claims by delivering service excellence.
  • Identifying 3rd party information and escalating to Insurer.
  • Load claims information onto any future client or claims system.
  • Creating a client file.
  • Ensure that claims item is deleted with Insurer after finalization of claim.
  • Ensure adherence to claims & underwriting guidelines.
  • Compile and submit outstanding claims report as per set standard.
  • Ensure data integrity on all systems.
  • Attend to client queries where it is required.
  • Minimize or ZERO cancellations through regular and proactive dealings with clients during the claims process.
  • Assist clients with claims related problems and report all deviations to reporting level.
  • Service Clients in accordance with the DCCP Service Standards.
  • Superior Claims Finalization with the intent to generate referrals.
  • Ensure confidentiality of database information
  • Any other instruction from Management

Desired Experience & Qualification

  • Matric
  • Minimum of 5 years insurance claim experience
  • Credit Life Insurance experience will be an advantage

Job Types:
Full-time, Temporary

Ability to commute/relocate:

  • Pretoria, Gauteng: Reliably commute or planning to relocate before starting work (required)

Education:

  • High School (matric) (required)

Experience:

- insurance claim: 5 years (required)