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Claims Specialist
2 months ago
We are seeking a skilled Claims Specialist to join our team at Nedbank. As a Claims Specialist, you will play a critical role in supporting the Risk Advisor within our Nedbank Insurance brokerage, driving the Nedbank Insurance brand and service strategy to achieve targets.
Key Responsibilities- Service and manage claims on a portfolio of clients, ensuring timely and efficient resolution.
- Register claims on internal systems and with various Insurers, enforcing claims handling processes aligned to event requirements.
- Keep clients informed at all stages, negotiate claims settlements, and review repudiations aligned to policy conditions.
- Report on outstanding claims exceeding 90 days, high-value claims, and multi-claimants identified.
- Handle claims in a manner that retains clients, addressing areas of risk and reporting on policy amendment requirements post-claim finalization.
- Maintain internal and external relationships, including Nedbank stakeholders and clients.
- Adhere to service standards and Service Level Agreement (SLA).
- Identify and recommend ways to improve business processes and systems to operate more effectively and add value to clients and business.
- Matric / Grade 12 / National Senior Certificate
- Qualification as per FSCA list: Cat 1.2 and 1.6 (Short-term Insurance Personal & Commercial lines)
- First Regulatory Examination: Representatives (RE 5)
- 3-5 years experience in Short-term Insurance claims (Personal and Commercial lines)
- Communication Strategies
- Data analysis
- Governance, Risk and Controls
- Nedbank policies and procedures
- Principles of financial management
- Principles of project management
- Relevant regulatory knowledge
- Relevant software and systems knowledge
- Cluster Specific Operational Knowledge
- Credit and risk Knowledge
- Building Partnerships
- Earning Trust
- Energy
- Facilitating Change
- Innovation
- Work Standards
- Planning and Organizing
- Customer Focus
