Claims Fulfillment Expert

5 days ago


Durban, KwaZulu-Natal, South Africa Future Careers Full time
Job Overview

Fulfill a critical role in the insurance industry as a Claims Fulfillment Consultant at Future Careers.

About the Role

This position involves handling various aspects of claims processing, ensuring timely resolution and customer satisfaction. As a key member of our team, you will work closely with stakeholders to resolve complex claims efficiently.

Key Responsibilities:
  • Claims Authorization: Authorize claims within set mandates and resolve them within agreed productivity targets and turnaround times.
  • Troubleshooting: Apply technical skills to resolve issues using available tools and systems, communicating effectively with customers.
  • Customer Engagement: Demonstrate a clear understanding and execution of customer complaints and resolutions, maintaining high levels of customer satisfaction.
  • Regulatory Compliance: Understand and adhere to regulated agreements specified by relevant regulatory boards.
  • Payout Management: Ensure accurate application of rates to service providers and correct appointment of service providers to claims.
  • Reporting and Communication: Understand report and quote requirements for prompt claims resolution.
  • Technical Skills: Operate claims management systems, use relevant tools for quick claim resolution, and communicate effectively through email and other channels.

Main Competencies:

  • Problem-Solving: Resolve complex claims efficiently.
  • Communication: Engage with customers, loss adjusters, and other stakeholders.
  • Attention to Detail: Accurately interpret policy wording and apply it to claims.
  • Collaboration: Work with internal and external teams to achieve claims resolution goals.

Requirements:

  • Experience: 4 years in claims handling, preferably homeowners/building claims experience.
  • Skills: Short-term claims insurance experience, ability to handle customer queries, and communication skills.


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