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Claims Advisor

3 months ago

Cape Town, South Africa Adzuna ZA B C2 Full time
Duties:
  • Manage a portfolio of complex or significant value claims, or client transactions.
  • Provide guidance to and manage multiple stakeholders in the management of complex claims
  • Identify all potential policies and coverages, seek validation where necessary, and advice where uncertain or clarification required
  • Promptly enter or update claims information into appropriate claims application(s) in compliance with any local service standards
  • Distribute (report) new claim notifications, or updates, to all insurers for all policies or coverages
  • Communicate with clients, colleagues, third parties or insurers for status updates, information requests, instructions or query resolution
  • Provide support for procedural guidance to clients and facilitate information requests between insurers and clients
  • Prepare settlement documentation and where appropriate facilitate collection of claims monies
  • Monitor incoming (& outstanding) funds from insurers and other relevant parties (aggregates/floats/funds ) , prepare payment requisitions and where applicable to facilitate payment to client/beneficiary
  • Adhere to compliance/regulatory requirements
  • Build and maintain effective relationships with clients, colleagues, third parties or insurers
  • Effectively communicate with clients, colleagues, third parties or insurers as appropriate at all times, and as per local procedures
  • Ensure all applicable claims applications, records and files are kept up to date at all times
Requirements:
  • Diploma or university degree preferred (or equivalent experience)
  • Minimum of 5 years Non-Motor corporate claims handling experience
  • All Lines of Business experience
  • Excellent interpersonal and communications skills
  • Insurance/ claims handling knowledge
  • FAIS Accreditation
  • RE
  • Corporate Broker Claims Background