Motor Claims Specialist
3 weeks ago
**MOTOR CLAIMS SPECIALIST** required for a well-established insurance company based on the East Rand to validate and administrate motor claims in accordance with Standard Operating Procedure, claims guidelines, the specialist’s own mandate, and the client’s policy schedule.
**Minimum Requirements**:
- Matric (Grade 12) - essential
- FETC (Further Education & Training Certificate) in Short Term Insurance - NQF 4 (150 credits)
- Higher Certificate in Short Term Insurance - NQF 5 or higher - highly advantageous
- Successfully passed RE 5 (Representative Exam)
- Class of Business certification (Personal Lines & Commercial Lines) - Highly advantageous
- Must be compliant with FAIS Fit and Proper requirements with track-record of working unsupervised.
- Computer literate (Word, Excel, Outlook)
- Experience working on Tial Operating System (System A) - highly advantageous
- At least 5 years relevant work experience in Personal, Commercial and AGRI claims settlement
- Work experience within a licensed insurer - highly advantageous
- Experienced in making claims settlement determinations with mandate exceeding R50 000
**Duties and Responsibilities**:
- Validation of claims in line with Company guidelines and Standard Operating Procedures
- Appointment of necessary providers
- Authorizations\Settlement of claims
- Rejection of claims
- Processing payments within the turn-around time
- Payment confirmations to Brokers and Suppliers
- Complaints handling and resolution
- Liaising with Service Providers
- Liaising with brokers and clients
**Skills Required**:
- Effective time management skills
- Drive and persistence
- Energetic with a positive outlook
- Must be focused, self-disciplined, and deadline driven
- Must project tenacity, professionalism and confidence
- Must genuinely enjoy interacting with people - service oriented
- Must be resilient and agile
- Ability to function independently and under pressure
- High attention to detail
- Proactive/ ability to use own Initiative
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