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Claims Consultant for Insure Connect Services

1 month ago


Cape Town, Western Cape, South Africa Insure Connect Services Full time

Claims Consultant Role Overview

We are seeking a highly skilled Claims Consultant to join our team at Insure Connect Services. As a Claims Consultant, you will be responsible for providing top-tier claims support and administration to our stakeholders. Your role will be essential in ensuring that brokers meet business objectives by maintaining high standards and following established procedures.

This role supports brokers in the United Kingdom. You will work normal office hours in a hybrid capacity.

Key Responsibilities

Financial Management:

  • Strategically minimize claims and associated expenses.
  • Contribute to the overall reduction of business expenses.

Client Relations:

  • Deliver precise, timely, and professional communications with all stakeholders (clients, account executives, insurers).
  • Foster and maintain strong relationships with both internal and external stakeholders.
  • Keep clients updated on the status of their claims.
  • Help achieve and exceed client satisfaction goals.

Business Processes:

  • Uphold company quality standards and regulatory frameworks in all processes.

Claims Administration:

  • Receive claims notifications and collect necessary forms and documents.
  • Oversee the entire claims process, ensuring adherence to procedures until resolution.
  • Appoint assessors or loss adjustors as necessary.
  • Apply policy terms and conditions accurately.
  • Maintain accurate and current records in internal systems.
  • Update relevant internal stakeholders on claims progress.
  • Assess claims validity, estimate values, and manage within mandate limits.
  • Forward claims exceeding mandate to insurers.
  • Obtain quotes for required services.
  • Arrange approval and payment for claims costs in line with coverage.
  • Serve as an intermediary between insurer and client, ensuring prompt communication.
  • Follow the recoveries process, schedule follow-ups, and keep clients informed.
  • Meet productivity and performance targets.
  • Contribute to the continuous improvement of team performance.
  • Adhere to company mandates and participate in special projects as needed.
  • Report any suspected fraud, misrepresentation, or dishonesty.
  • Maintain meticulous records of all activities.

Learning and Growth:

  • Embrace our company values and commit to continuous self-development.
  • Actively share knowledge and insights with the team.

Requirements:

  • Matric or equivalent.
  • Proficient in computer use.
  • Exceptional verbal and written communication skills.
  • 2 - 4 years of claims experience in Personal Lines and Commercial.