Claims Resolution Specialist

4 weeks ago


Westville, KwaZulu-Natal, South Africa Kaelo Full time
{"title": "Claims Specialist", "description": "Job Summary

Kaelo is seeking a skilled Claims Specialist to join our team. As a Claims Specialist, you will be responsible for managing the assessment of claims and providing exceptional customer service.

Key Responsibilities
  • Accurately and efficiently process claims
  • Support the operation of other divisions as needed
  • Contribute to continuous improvement and innovation at process and procedure level
  • Ensure all claims processing and queries are attended to accurately and within the agreed turnaround time
  • Contribute to risk management
  • Assist clients with queries and provide suitable query resolution
  • Complete administrative targets on a daily basis
  • Deal with multiple telephonic queries from members, brokers, and franchises
  • Provide ongoing feedback to clients
Requirements
  • Insurance industry experience
  • Matric qualification
  • FAIS/RE5 accreditation
  • Computer literacy, including Microsoft Access
Preferred Qualifications
  • Health insurance industry experience
  • FAIS/RE5 accreditation with minimum 120 credits
Additional Information
  • Accountability
  • Action-oriented
  • Collaborative
  • Communication
  • Business writing skills
  • Manage complexity
  • Problem-solving skills
  • Decision thinking
  • Encourages engagement
  • Resilient and adaptive
  • Resourceful
  • Demonstrates self-awareness
  • Purpose-driven
  • Significance and values-oriented
", "lang_code": "en"}

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