Senior Claims Assessor

2 weeks ago

Johannesburg, South Africa FirstRand Full time

Job Description

Dear Future, Senior Claims Assessor

Your role requires accurate assessment, investigation and validation of complex long-term insurance claims with a high value in accordance with the goals, objectives, processes and standards of the organisation in order to meet customer. These claims may include funeral, death, disability, dread disease and retrenchment claims.

Are you someone who can:

- Provide input into the budgeting process and monitor utilisation for the financial year according to the operational plan
- Produce or review budget reports to make sure they accurately reflect work activity
- Ensure financial documentation is maintained to support accurate record keeping and future legislative requirements
- Escalate potential budget risks that may lead to increased costs or financial losses
- Present work proposals on planned activities that will require financial resources Allocate and approves expenditure
- Collate, analyse and evaluate data and information to forecast expenditure and cash flow trends and make recommendations to improve budget
- Deliver against operational and cost targets
- Prioritise resource allocation to minimise and reduce wastage
- Monitor costs for the financial year according to the operational plan
- Allocates and approves expenditure
- Review cost reports and resolves or explains variances to the budget Identify, control and escalate potential risks that may lead to increased costs
- Manage costs or expenses within approved budget to achieve cost efficiencies
- Monitor revenue growth for applicable income streams
- Determine targets for revenue growth Identify and implement on opportunities for revenue growth
- Deliver customer experience excellence aligned to Organisational values and service standards
- Build professional long-term relationships with customers based on trust that builds the brand
- Collect and interrogate information and feedback to ensure full understanding of customer needs to deliver a quality service
- Provide customers with relevant information to keep them informed of products and service options
- Ensure full understanding of customer needs to deliver a quality service
- Ensure customer service solutions are aligned to the business operational plan; Organisational values and service standards
- Communicate how customer service solution will be implemented and secures buy-in
- Ensure product knowledge and advice is technically accurate and provide customers with relevant information to keep them informed of products and service options
- Ensure resolution of customer queries and complaints timeously and ownership of issues
- Analyse customer feedback to help improve customer service
- Propose ideas to improve customer service
- Build relationships that allow for the managing of expectations; the sharing of knowledge and diverse insights; and the creation of buy-in
- Engage in cross-functional relationships to obtain and to provide work support Ensure compliance with relevant statutory, legislative, policy and governance requirements in area of accountability
- Ensure implementation of relevant policies, governance and practice standards across the business
- Maintain knowledge on relevant legislative amendments, industry best practices and internal compliance procedures and requirements
- Ensure compliance is adopted in terms of systems and procedures as laid out by organisation and review in response to audit findings and changes.
- Minimum: Matric
- At least 2 years’ claims assessment experience
- Worked with credit life and underwritten life products
- Worked in a Long-term insurance environment
- Specific Retrenchment experience in a banking environment advantageous
- Experience in dealing with Ombudsman / escalated queries

You will have access to:

- Opportunities to network and collaborate.
- A challenging working environment
- Opportunities to innovate.

We can be a match if you are:

- Adaptable and curious
- Have a proven successful track record.
- Thrive in a collaborative environment

Are you interested to take the step? We look forward to engaging with you

Job Details

Application Closing Date

08/03/24

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