Commercial Claims Specialist

3 days ago


Johannesburg, Gauteng, South Africa Mirror Images Full time
Job Title: Commercial Claims Technician

We are seeking a highly skilled and experienced Commercial Claims Technician to join our team. As a Commercial Claims Technician, you will be responsible for handling commercial insurance claims, ensuring timely and efficient resolution of claims, and maintaining excellent relationships with clients and brokers.

Key Responsibilities:
  • Register all new claims received and raise an appropriate reserve as outlined in the reserving methodology.
  • Action any immediate claims processing requirements in accordance with the relevant Claims procedure manual.
  • Continuously update the claims activity TAB in respect of all actions taken on the claim.
  • Regular liaison and communication with broker/client on progress of the claim.
  • Action any claims processing requirements on receipt of new claims information, within the prescribed company turn-around times.
  • Amend reserves in accordance with reserving methodology and new information received.
  • Attend to all queries received relating to "in-progress" claims timeously as per company turn-around times.
  • Action current day diary/user note items timeously as per company turn-around times.
  • Provide daily feedback on actioned claims (as per the target agreed) to the Team Leader.
  • Finalise/settle claims in accordance with relevant company claims procedure.
Requirements:
  • Matric, FAIS compliant (within prescribed deadline).
  • Successfully passed RE 1.
  • Effective time management skills, System A and computer literacy (word, excel, outlook), Email and Telephone Etiquette, SOP Concept.
  • Minimum five years relevant work experience in short term insurance claim settlement (Commercial claims, Motor and Non-Motor).
  • COMPETENCIES REQUIRED TO PERFORM OUTPUTS AND ROLES ASSOCIATED WITH THESE OUTPUTS:
  • Results oriented.
  • Commitment.
  • Proficiency.
  • Continuous Learning.
  • Honesty and Integrity.
  • Adaptable to change.
  • Strategic thinking.
  • Team player.
  • Goal oriented.
  • Coaching and consulting.
  • Time management.
  • Communication skills.
  • Ability to build good relationships.
  • Work well under pressure.
What We Offer:
  • A dynamic and supportive work environment.
  • Opportunities for professional growth and development.
  • A competitive salary and benefits package.


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