Claims Consultant Short Term Insurance

2 weeks ago


Cape Town, Western Cape, South Africa Risk Benefit Solutions Full time

Role Purpose
To provide stakeholders (e.g. clients, account executives) with efficient claims advice and administration according to the required standards and procedures in support of the business strategy.

PERSPECTIVE

OUTPUTS

Financial

  • Ensure appropriate minimisation claims expenses
  • Ensure and contribute to minimisation of general expenses

Client

  • 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

Business processes

  • Adhere to company quality standards and broader regulatory frameworks wrt the following processes (but not limited to):
  • Claims Administration
  • Receive claims notification, and send and obtain any relevant forms or documents as may be required
  • Process and ensure all claims are processed within the required parameters
  • 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 products and/or services
  • Follow and ensure adherence to claims settlement processes
  • Act as intermediary between insurer and client and timeously relay communication, requests and documentation
  • Ensure recoveries are appropriately referred to the relevant department
  • Determine if corrective action is required and forward to the underwriting department
  • 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

Learning and growth

  • Live the company values
  • Ensure continuous selfdevelopment
  • Share information and knowledge with the team
  • Ensure productivity targets are met

MINIMUM EXPERIENCE

  • Matric or equivalent


RE
  • FAIS appropriate qualification/credits
  • Computer literate
  • CIMS advantageous
  • Excellent communication skills (verbal & written)
  • Excellent client service skills
  • Attention to detail

MINIMUM EXPERIENCE

  • 3 years claims experience (Personal Lines and/or Commercial)
  • Binder experience will be advantageous

Job Types:
Full-time, Permanent

Salary:
R23, R30,000.00 per month

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