Payment Consultant

7 days ago

Centurion, Gauteng, South Africa MOMENTUM LIFE Full time

Introduction

Through our client-facing brands Metropolitan and Momentum, with Momentum Multiply (our wellness and lifestyle rewards programme), and our other specialist brands, including Guardrisk and Eris Property Group, the group enables business and people from all walks of life to achieve their financial goals and life aspirations. We help people grow their savings, protect what matters to them and invest for the future. We help companies and organizations care for and reward their employees and members. Through our own network of advisers or via independent brokers and utilizing new platforms Momentum Metropolitan provides practical financial solutions for people, communities, and businesses.

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Disclaimer

As an applicant, please verify the legitimacy of this job advert on our company career page.

Role Purpose

To process accurate and timeous payments of various claim types to ensure an effective client experience.

Requirements

  • Matric

  • Relevant Financial degree or diploma

  • 1-2 years' experience in life insurance claims would be beneficial

  • Relevant insurance knowledge, applicable regulatory requirements and legislations would be beneficial

Duties & Responsibilities

Audit and authorise claims within insurance policy guidelines (Internal Business Process)

  • Processing claims payments timeously whilst capturing the information on the Claims system across Critical Illness, Income Protection, Disability and Death benefits product lines

  • Manage and maintain workflow and service level standards to ensure delivery of timeous and consistent claim payments to clients.

  • Ensure the correct client and benefit details are assessed before processing any payment to ensure accuracy.

  • Ensure all payment required documentation and payment summaries are received in order to make payment, e.g. tax directive, bank confirmation, world check.

  • Liaise and resolve with assessors and consultants on payment process should there be any discrepancies

  • Monitor payment queues and personal queues to ensure that work is distributed and attended to within agreed SLAs.

  • Management of long term claims

  • Confirm payment processed via relevant communication to provide client an optimal client journey.

  • Responsible for all payment escalations through investigating, supporting and communicating to all stakeholders involved (client, the assessors, escalations team and claims consultants).

  • Assist with the development and execution of the payment process methodology across all payment types.

  • Monitor the application of the payments process and methodology through current best industry and company practices and technological enablers to ensure successful execution a client's claim.

  • Familiar with the regulatory framework, insurance related practices by regulatory bodies, governing bodies etc. that could impact the way claims are processed and paid.

  • Embed and apply claims payment tools that allow for more efficient processing and risk management capabilities

  • Assist with the review of the payment process and related documentation to ensure that our risk management standards are met

  • Incorporate internal feedback into the enhancement of daily business processes and management operating systems

Engage with clients in a client centric manner (Client Services)

  • Provide factual, logical, expertise and advice to clients and stakeholders within area of responsibility (product, service and payment).

  • Build and maintain relationships with clients, internal and external stakeholders

  • Deal promptly with all client/broker requests in a competent, efficient and professional manner to ensure client retention and satisfaction

  • Deliver on service level agreements with all stakeholders to ensure that client expectations are met and managed

  • Participate and contribute to a culture which builds rewarding relationships, facilitates feedback and provides exceptional client service

Self-management and teamwork (People)

  • Develop and maintain productive and collaborative working relationships with peers, team members and stakeholders

  • Adhere to policies, procedures and take corrective actions where necessary

  • Positively influence and participate in change initiatives.

  • Continuously develop own expertise in terms of professional, industry and legislation knowledge

  • Contribute to continuous innovation through the development, sharing and implementation of new ideas to enable the claims function

  • Take ownership for driving career development

Contribute to financial controls and planning (Finance)

  • Responsible to manage, identify and mitigate risk through the adherence of the claims process

  • Identify to enhance cost effectiveness and increase operational efficiency within the claims payment environment.

  • Manage financial and other company resources under your control with due respect

  • Provide input into the risk identification processes and communicate recommendations in the appropriate forum.

Competencies

  • Business Acumen

  • Client/ Stakeholder Commitment

  • Drive for Results

  • Leads Change and Innovation

  • Motivating and Inspiring Team

  • Collaboration

  • Impact and Influence

  • Self-Awareness and Insight

  • Diversity and Inclusiveness

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