Claims Auditor

2 days ago

Sandton, South Africa Guardrisk Full time

**Introduction**
- Audit and monitor all Aggregates claims, internal motor and non-motor claims as per audit programme.**Role Purpose**
- Audit and monitor all Aggregates claims, internal motor and non-motor claims as per audit programme.**Requirements**:

- Matric
- FAIS compliant
- An insurance/ relevant qualification
- At least 5-10 years relevant working experience, with some supervisory functions
- An exceptional eye for detail
- An ability to work accurately under pressure
- A comprehensive understanding of multiple short
- term insurance
- A comprehensive understanding of standard and non-standard insurance facilities, with specific focus on aggregates and related facilities, internal motor claims and non-motor claims
- Sound knowledge of Commercial and Corporate type claims

**Duties & Responsibilities**
- Audit and monitor all functions in terms if agreements including monthly reports
- Service Providers
- Analyse audit reports and follow up on that audit findings are actioned promptly, and all issues closed
- Ensure that on new accounts, there is proper communication and alignment of brokers’ responsibilities with all impacted stakeholders
- i.e. tracking, reporting and procedures
- Ensure mandate is set and adhered to by the party to whom responsibilities are delegated
- Identify, track and remedy claims leakage at the respective delegated parties
- Assist with General Financial Functions within the claims team
- Assessing accuracy and quality of usage of the claims system
- Recommending enhancements to the system
- Assessing on an ongoing basis process efficiencies in the claims space and recommending solutions to the management team where deficiencies are detected
- Conducting random portfolio reviews across the products to assess capacity and competency
- Implementing generally accepted audit methodology within the quality assurance program

**Competencies**
- Business Acumen
- Customer Focus Relationships
- Attention to detail
- Analysis & Judgement
- Practical Leadership
- Stress Handling
- Rule Orientation
- Sound organizational, planning and communication skills

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