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Motor Claims Specialist

2 weeks ago

Johannesburg, South Africa Ultra Personnel Full time

Matric (Grade 12) is essential
FETC (Further Education & Training Certificate) in Short Term Insurance NQF 4 (150 credits)
Higher Certificate in Short Term Insurance : NQF 5 or higher is highly advantageous
Successfully passed RE 5
Class of Business certification (Personal Lines & Commercial Lines) Highly advantageous
Must be compliant with FAIS Fit and Proper requirements with track-record of working unsupervised
Computer literate Microsoft Word, Excel, and Outlook
Experience in HCV (heavy commercial vehicles), Fleets and AGRI claims highly advantageous
At least 5 years relevant work experience in Personal, Commercial and AGRI claims settlement
Work experience within a licensed insurer highly advantageous
Effective time management skills required
The main purpose of the Claims Specialists role is to validate and administrate a clients motor claim following a fortuitous event
In accordance with Standard Operating Procedure, claims guidelines, the specialist own mandate, and the clients policy schedule, the specialist will make a claims settlement determination
Ability to function independently and under pressure
The main purpose of the Claims Specialists role is to validate and administrate a clients motor claim following a fortuitous event
Appointment of necessary providers
Authorizations\Settlement of claims
Rejection of claims
Processing payments within the turn-around time
Payment confirmations to Brokers and Suppliers
Complaints handling and resolution
Liaising with Service Providers
Liaising with brokers and clients

**You will interact with brokers, internal staff, service providers and policy holders