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Claim Processor and Liaison Officer
1 week ago
FUTURE CAREERS IS SEEKING A HIGHLY SKILLED CLAIMS CONSULTANT TO JOIN OUR TEAM.
The successful candidate will be responsible for:
- Authorizing and resolving claims within agreed productivity targets and turnaround times.
- Applying technical skills to resolve issues using available tools and systems.
- Demonstrating a clear understanding of customer complaints and resolutions, as well as claim rejections.
- Managing claims handling according to regulated agreements.
- Ensuring accurate payments, correct application of rates, and appointment of service providers.
- Operating a claims management system and using relevant tools for quick resolution and effective communication.
- Having a working knowledge of the internet and Google Maps.
In addition to these key responsibilities, this role also involves:
Effective planning, communication, problem-solving, and decision-making.
- Treating customers fairly, with a clear understanding of incident reports, claims history, and policy wording.
- Communicating technical details to customers and loss adjusters, ensuring professional engagement.
- Investigating suspicious activity and reporting it to the next level if required.
- Communicating calmly and professionally with difficult customers, always treating them fairly.
- Engaging with specialist service providers, such as engineers.
This role involves daily interactions with various stakeholders, including:
Finance division for payment authorizations and service delivery improvement.
Policy administration for policy amendments, client queries, and complaints resolution.
Insurance customer contact centre for advice on anomalies and trends affecting new claims processing.
Management and peers for contentious matters and urgent claims.
Procurement manager for adherence to service level agreements.
Claims fulfillment manager for guidance, mentoring, and advising on growth opportunities.
Operations manager for guidance and advice through reporting lines.
External daily relationships involve:
Providing exceptional customer experience and professional peace of mind.
Interacting with panel or non-panel service providers, loss adjusters, quantity surveyors, and forensics experts.
Assisting internal and external auditors during audits.
Core values and personal development:
- Pride in the company's mission, vision, and values.
- Taking charge of personal development and career path.
- FOLLOWING THE COMPANY'S CODE OF ETHICS.
- Complying with regulations and legislation.
- Supporting and living the organisation's amazing service culture.
- CARRYING OUT FAIR AND REASONABLE INSTRUCTIONS WITHIN PRESCRIBED TURNAROUND TIMES.