Claims Consultant

1 week ago

Port Elizabeth, Eastern Cape, South Africa RBS Insurance Brokers Full time

RBS is one of the largest Short Term Insurance brokerages in Southern Africa and has just become a level one BBBEE contributor. We are looking for vibrant individuals to join our team.

Job Description

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.

  1. Ensure appropriate minimisation of claims and claims expenses
  2. Ensure and contribute to minimisation of general expenses

Client Responsibilities:

  1. Ensure that all stakeholder (e.g. clients, AE's, insurers) communication is accurate, timeous, professional and relevant
  2. Build and maintain mutually beneficial relationships with internal (e.g. account executives) and external (e.g. clients) stakeholders
  3. Keep clients informed regarding the progression of claims
  4. Ensure and contribute to achieving the required client satisfaction targets

Business Processes:

  1. Adhere to company quality standards and broader regulatory frameworks with respect to the following processes (but not limited to):
  2. Claims Administration:
  • Receive claims notification, and send and obtain any relevant forms or documents as may be required
  • Administer complete claims process according to defined claims procedures until claims are settled
  • Appoint assessor or loss adjustor
  • Apply policy terms and conditions
  • Keep internal systems 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, estimate value, and administer mandated claims
  • Forward claims in excess of mandate to insurer
  • Obtain quotes for services
  • Arrange approval and payment for claims costs in line with claims and cover
  • Act as intermediary between insurer and client and timeously relay communication, requests, and documentation
  • Follow the recoveries process, diarise follow-ups, and keep clients informed
Ensure productivity targets are metContribute towards and ensure continuous improvement in own and team performanceAdhere to company mandatesParticipate and contribute in ad hoc projectsReport any suspected fraud, misrepresentation, and/or dishonestyKeep accurate record of own activities

Learning and Growth:

  1. Live the RBS values by committing to the organisational values
  2. Share information and knowledge with the team

Job Requirements:

Minimum Qualifications and Skills:

  1. Matric or equivalent
  2. RE 5
  3. CIMS - advantageous

Minimum Experience:

  1. 3 years claims experience (Personal Lines and Commercial)
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