Claims Fulfillment Consultant
4 days ago
Job Purpose We pride ourselves on our superior customer experience to all our customers, whether internal or external, by applying the highest technical claims knowledge and systems understanding when resolving claims and providing support. Our area of expertise consists of building claims. The inherent goal is to consistently exceed and practice customer expectations as governed by regulations on a regular basis and to drive timeous settling of claims, whilst applying risk management principles at a consultant level. Claims Processing Authorise claims within the set mandate and resolve all claims within the agreed productivity targets and turnaround times by utilising the claims diary system effectively. Apply and effectively communicate technical skills and resolve all technical issues using available tools and systems. Demonstrate a clear understanding and execution of customer complaints and resolutions that must be maintained and exceeded, as well as a clear understanding of claim rejections. Demonstrate a clear understanding of the management of claims handling that must be followed within the regulated agreements as specified by the relevant regulatory boards. Ensure a clear understanding of all payments, the correct application of rates to be authorised to the service provider and the correct appointment of service providers to the claims. Demonstrate a thorough understanding of the report and quotes to communicate prompt claims resolution to the customer. Have a clear understanding of how to operate a claims management system, as well as the use of relevant tools that can enable the quick resolution of a claim and ensure effective communication, such as using Outlook to send emails, SMS and exporting own reports to Excel. Have a working knowledge of the internet and how to use Google Maps. Plan, Communicate, Solve Problems and Effectively Carry Out Decisions Ensure that all customers are treated fairly and have a clear understanding and accurate interpretation of the reported incident, claims history and correct application of the policy wording. When communicating technical detail to the Customer, Loss Adjusters to consult or debate the outcome of the claim, ensure lateral thinking and professional engagement with all parties. Have an inquisitive and investigative mind to communicate and report suspicious activity to the next reporting level if further intervention is required. Possess the ability to communicate calmly and professionally, yet assertively with difficult customers at all levels and outcomes in a fair, sensitive and persuasive manner, always keeping in mind that the customer must be treated fairly as required. Have a clear understanding of how to engage and communicate with the appropriate specialist service providers to engage on each claim, such as engineers, etc. Practice and Promote Consistent Effective Relationship Building Maintain effective relations with all stakeholders within the organisation. This includes but is not limited to: Internal Daily relationships with Finance Division to improve on service delivery issues regarding
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Claims Fulfillment Consultant
4 days ago
Durban, South Africa Pronel Personnel Full timeJob Purpose We pride ourselves on our superior customer experience to all our customers, whether internal or external, by applying the highest technical claims knowledge and systems understanding when resolving claims and providing support. Our area of expertise consists of building claims. The inherent goal is to consistently exceed and practice customer...
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Claims Fulfillment Consultant
4 days ago
Durban, South Africa Pronel Personnel Full timeJob Purpose We pride ourselves on our superior customer experience to all our customers, whether internal or external, by applying the highest technical claims knowledge and systems understanding when resolving claims and providing support. Our area of expertise consists of building claims. The inherent goal is to consistently exceed and practice customer...
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Claims Fulfillment Consultant
4 days ago
Durban, South Africa Future Careers Full timeJob Description Claims Processing The following directly centers around which your daily obligations revolve: Authorize claims within the set mandate and resolve all claims within the agreed productivity targets and turnaround times by utilizing the claims diary system effectively. Apply and effectively communicate technical skills and resolve all technical...
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Claims Fulfillment Consultant
4 days ago
Durban, South Africa Pronel Personnel Full timeJob Purpose We pride ourselves on our superior customer experience to all our customers, whether internal or external, by applying the highest technical claims knowledge and systems understanding when resolving claims and providing support. Our area of expertise consists of building claims. The inherent goal is to consistently exceed and practice customer...
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Claims Fulfillment Consultant
4 days ago
Durban, South Africa Future Careers Full timeJob Description Claims Processing The following directly centers around which your daily obligations revolve: Authorize claims within the set mandate and resolve all claims within the agreed productivity targets and turnaround times by utilizing the claims diary system effectively. Apply and effectively communicate technical skills and resolve all technical...
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Legal Costs Consultant – Claims
1 week ago
Durban, South Africa Road Accident Fund Full timeA public service organization in Durban is seeking a Consultant: Legal costs to manage legal cost assessments for claims. The ideal candidate will have a Bachelor’s Degree and three years' experience in insurance or legal environments. Key responsibilities include consulting with experts and reviewing claims to ensure fairness and compliance. This...
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Claims Consultant
1 week ago
Durban, South Africa King Price Insurance Full time**Purpose of the position**: To capture and process motor and non-motor claims. **Responsibilities**: - Capture and underwrite motor and non-motor claims - Manage client’s expectations and validate claims in a timely manner - Deal with client queries in a professional way and in alignment with our company values - Arrange and manage car hire for...
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Durban North, South Africa AOS WEALTH (Pty )Ltd Full time**ONLY CANDIDATES WITH THE REQUIRED EXPERIENCE TO APPLY.** **Type of employment**: Permanent **Salary**:R9000 - R11000 (Dependent on qualification and experience) **Reliable Transport** **Minimum Requirements**: - Matric - NQF4 Short Term Insurance (150 FAIS credits) - Preferred - Min 2 years’ - Junior to Mid level Experience. - Excellent...
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Durban, South Africa Nedbank Full time**Job Classification** - Job Family- Administration, Operations and Facilities - Career Stream- Admin, Transact Processing and Production - Leadership Pipeline- Manage Self: Technical - FAIS Affected- FAIS Affected - Yes**Job Purpose** - To provide claims administration support in respect of short term insurance matters to stakeholders in line with Nedbank...
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Policy Services Advisor
4 days ago
Durban, South Africa Telesure Investment Holdings (Pty) Ltd. Full timeA leading financial services provider is seeking a Customer Service Consultant in Durban. The role involves managing customer inquiries, capturing information for claims, and providing product insights while ensuring operational compliance. Essential qualifications include Grade 12 and relevant regulatory certifications. This position offers an opportunity...
