Senior Claims Consultant

3 weeks ago

Cape Town, South Africa Status Staffing Full time

**Western Cape**, Cape Town**

**(Market related)**

Our client based in Cape Town is looking for a Senior Claims Consultant that has their RE5 and is FAIS compliant with 3 years commercial claims experience.

EMPLOYMENT TYPE : Permanent

SECTOR : Insurance

BASIC SALARY : Market Related

START DATE : A.S.A.P / Immediate

**REQUIREMENTS**:

- 3 years commercial claims experience
- Microsoft Office (Word, Excel)
- CIMS - advantageous
- Matric or equivalent qualification
- RE5 - NON NEGOTIABLE
- FAIS compliant (credits and/or full qualification)

**DUTIES**:

- Ensure appropriate minimization of claims and claims expenses
- Ensure and contribute to minimization of general expenses
- Ensure that all stakeholder (e.g. clients, AE’s, insurers) communication is accurate, timeous, professional and relevant
- Build and maintain mutually beneficial relationships with internal (e.g. account executives) and external (e.g. clients) stakeholders
- Keep client informed regarding to progression of the claim
- Ensure and contribute to achieving the required client satisfaction targets
- 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
- Keep internal system 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 and 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, diarize follow-ups and keep clients informed
- Ensure productivity targets are met
- Contribute towards and ensure continuous improvement in own and team performance
- Adhere to company mandates
- Participate and contribute in ad hoc projects
- Report any suspected fraud, misrepresentation and/or dishonesty
- Keep accurate record of own activities
- Live the RBS values by committing to the organizational values
- Ensure continuous self-development
- Share information and knowledge with the team

**HOURS**:

- Mon - Fri: 08:00 - 16:30
- For more information please contact:
**Rozané Coleske

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