Claims Assessor

2 weeks ago

Midrand, Gauteng, South Africa UT Information Technologies & Greenro Solutions Full time

Job Purpose

To obtain all the necessary information on claims for the process of completing processing.

1 Year Project Contract renewable based on Performance

Qualifications

  • Grade 1
  • A + and N+
    (Compulsory):


ITIL
  • Telephone Etiquette skills
  • Drivers Licence & Own Car
    (Compulsory)

Experience
1-2 years experience in a similar environment

Functions

  • Accountable for own work quality, standards and outputs related to policies, procedures and defined processes
  • Plan for task execution and adjust priorities against an established plan.
  • Adhere to prescribed timekeeping standards at all times and attempt to improve own standards continuously
  • Align and integrate own administrative tasks and activities in accordance to required response time, quality and service delivery standards.
  • Respond promptly to call centre calls in a professional manner, ensuring excellent and accurate client service in enhancing organisation reputation.
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Essential Functions:

-
Behavioural Competencies
Customer Orientation
The ability to interact with customers in an effective and efficient manner*
  • Competency Definition: Puts customers first and is eager to please them in line with company standards. Develops and sustains productive customer relationships.
  • Behavioural Indicators: Puts customers first and is eager to please them in line with company standards. Responds quickly when servicing customers. Shows courtesy, sensitivity, humanity and empathy and appreciates diversity in customers. Uses customer feedback to improve service.
-
Communicating with Impact

Readily maintains open and consistent communication with other

  • Competency Definition: Must be able to exchange information and ideas in a clear and concise manner appropriate for the audience, in order to explain, persuade, convince and influence other to achieve the desired outcomes.
-
Customer service orientation

Readily maintains open and consistent communication with other

  • Competency Definition: Commits to achieving and maintaining high quality results and provides a prompt, suitable and personalised service to customers that meets their needs.
  • Behavioural Indicators: Responds appropriately to customers requests. Takes personal responsibility for following through and providing accurate answers to customers expressed needs (eg inquiries, requests, and complaints) within the organisation''s policies and procedures.
-
Teamwork and Cooperation

The ability to participate as a team member

  • Competency Definition: Commits to achieving and maintaining high quality results and provides a prompt, suitable and personalised service to customers that meets their needs.
  • Behavioural Indicators: Responds appropriately to customers requests. Takes personal responsibility for following through and providing accurate answers to customers expressed needs (eg inquiries, requests, and complaints) within the organisation''s policies and procedures.

Problem Solving and Analysis

Able to systematically identify, analyse and resolve existing and anticipated problems

  • Competency Definition: Must be able to systematically identify, analyse and resolve existing and anticipated problems in order to reach optimum solutions in a timely manner
  • Behavioural Indicators: Demonstrates an ability to quickly assess a situation and determine best solution. Ensures that decisions are made based on policies, rules, and organisational directives in order to solve problems in the best interests of all stakeholders.
- **Interpersonal Effectiveness**
Interacts with others in an effective and efficient manner

  • Competency Definition: The ability to influence a wide range of diverse individuals and groups positively
  • Behavioural Indicators: Ability to engage people. Demonstrates initiative. Possesses good judgment and decisionmaking skills. Understands the organisation.

Organisation and Attention to Detail

Is attentive in basic, routine, repetitive tasks

  • Competency Definition: The extent to which one systematically employs a standard system for the organisations work processes and related resources and an overall concern for integrating all aspects of the task, situation and or work related problem
  • Behavioural Indicators: Keeps a provided operational task checklist readily accessible. Seeks clarification when necessary. Uses time and resources productively to complete assigned tasks.
- **Technical Competencies**
Able to demonstrate concern for customer expectations and needs

  • Competency Definition: Able to demonstrate concern for customer expectations and needs
  • Behavioural Indicators: Displays understanding of different products and their key features. Able to explain the key features and how the different product/service can be used. Able to match stated customer needs to product/service offering. Demonstrates knowledge of the product and/or service branding.
- **Query resolutio

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