Claims and Customer Care Consultant

6 days ago

Cape Town, South Africa Job Crystal Full time

**SPECIFICATION**

A global InsureTech business is looking for a Claims and Customer Care to join their AU and NZ Team, but the position will be SA based (Working hours are 00h30 to 09h30)

The business provides an end-to-end service where they facilitate the whole process from contacting the client to gathering information/evidence, reviewing and validating the evidence, quoting on the correct replacement/s, and then facilitating the replacement process.

You will have to manage and deliver a superior claims service to ensure that all claims are investigated and settled within the limits of the policy coverage. Provide support to the AU / NZ team by providing technical claims and bicycle knowledge.

**DUTIES & RESPONSIBILITIES, NOT LIMITED TO**:

- Manage the end to end claims process from lodgement to settlement.
- Day to day management of claim lodgements, customer inquiries and validating reported insurance claims.
- Answer incoming calls and provide customers with empathy, certainty, guidance and support from lodgement to final resolution of claim situations and inquiries.
- Provide accurate advice to customers and clear instructions of the next steps of what we will do and what we need the customer to do.
- Identify potential fraudulent claims and follow agreed policies and procedures.
- Effective communication with internal and external customers.
- Ensure that customers and suppliers/service providers, including assessors and repairers, are contacted in a prompt, courteous and knowledgeable manner.
- Resolve complaints and disputes from clients, suppliers or service providers within agreed service levels.
- Authorise claim payments within the approved delegated authority of the position.
- Ensure that claims are processed in accordance with policy guidelines, company procedures, approved suppliers and industry laws and guidelines.
- Effective and accurate notes on electronic claim files.
- Ensure claims decisions are technically sound and communicated appropriately to all customers and stakeholders.
- Manage individual productivity, to ensure that all work is completed daily including telephone calls, tasks and claims.

**REQUIREMENTS**:

- If you have knowledge of the cycling industry, some insurance experience, or have completed a 3 year degree, you may be the one we’re looking for.
- If working for an International Company, learning about Bicycle and Cyclist Insurance and engaging with like-minded cycling addicts appeals to you, please get in touch.
- Can work remote from anywhere in South Africa

Ability to commute/relocate:

- Cape Town, Western Cape: Reliably commute or planning to relocate before starting work (required)

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