Claims Consultant

**Job Advert Summary**:
Helloan exciting new opportunity has just become available in our **Insure, Northern Region (Nelspruit)**. We are looking to recruit a **Claims Consultant**.

**Role Objectives**:
This Claims Negotiator role will be responsible for managing Branch claims assigned, within the branch mandate, within the set standards required by the company thus contributing to the productivity of the claims department. Maintaining the standards of the claims department thus enhancing the image of Hollard, as well as ensuring technical aspects for claims settlement are adhered to. Contribute to the growth and profitability of Hollard and Ensure strong working relationship between all stakeholders

**Key Responsibilities**:
Technical expertise: To evaluate and investigate all claims received in order to prevent possible leakage to the company in the settlement of claims

Customer service: Maintain a high level of service to customers (internal and external) according to service level agreements and within the service standards as set by the company

Service to brokers: Over and above normal claims processing duties such as technical advice and other assistance

Effective and timeous communication: Communicate in a professional manner with internal and external parties and respond to queries within 24 hours of receipt

Registration: All claims received to be registered within 24 hours of receipt

**Required Knowledge and Experience**:
Good knowledge of Commercial & Personal insurance with at least 5 years’ experience

Claims procedure

Insurance terminology

Legal knowledge (prescription act, insurance act, FAIS)

Underwriting knowledge (ability to interpret policy wording, understanding how claims information impacts on underwriting)

Basic risk assessment knowledge (understand the assessment process, with an ability to appoint the right assessor)

Reinsurance and treaties (basic understanding)

Product knowledge

Basic financial knowledge (estimates, premiums, co-insurance)

FAIS compliance

**Educational Requirements**:
NQF 4 Insurance qualification or equivalent advantageous