Short Term Insurance Claims Consultant

2 months ago

Cape Town, South Africa Insure Connect Services Full time

Join our tenacious team as a Claims Consultant, where you'll provide top tier claims support and administration to our stakeholders, including clients and account executives. Your role is essential in ensuring that brokers meet business objectives by maintaining high standards and following established procedures.

This role supports brokers in the United Kingdom. You'll work normal office hours in a hybrid capacity.

Core Responsibilities

Financial:

  • Strategically minimize claims and associated expenses.
  • Contribute to the overall reduction of business expenses.

Client Relations:

  • Deliver precise, timely, and professional communications with all stakeholders (clients, account executives, insurers).
  • Foster and maintain strong relationships with both internal and external stakeholders.
  • Keep clients updated on the status of their claims.
  • Help achieve and exceed client satisfaction goals.

Business Processes:

  • Uphold company quality standards and regulatory frameworks in all processes.

Claims Administration:

  • Receive claims notifications and collect necessary forms and documents.
  • Oversee the entire claims process, ensuring adherence to procedures until resolution.
  • Appoint assessors or loss adjustors as necessary.
  • Apply policy terms and conditions accurately.
  • Maintain accurate and current records in internal systems.
  • Update relevant internal stakeholders on claims progress.
  • Assess claims validity, estimate values, and manage within mandate limits.
  • Forward claims exceeding mandate to insurers.
  • Obtain quotes for required services.
  • Arrange approval and payment for claims costs in line with coverage.
  • Serve as an intermediary between insurer and client, ensuring prompt communication.
  • Follow the recoveries process, schedule follow-ups, and keep clients informed.
  • Meet productivity and performance targets.
  • Contribute to the continuous improvement of team performance.
  • Adhere to company mandates and participate in special projects as needed.
  • Report any suspected fraud, misrepresentation, or dishonesty.
  • Maintain meticulous records of all activities.

Learning and Growth:

  • Embrace our company values and commit to continuous self-development.
  • Actively share knowledge and insights with the team.

Minimum Requirements:

  • Matric or equivalent.
  • Proficient in computer use.
  • Exceptional verbal and written communication skills.
  • 2 - 4 years of claims experience in Personal Lines and Commercial.

Join us and be a part of a growing team, where you will play a crucial role in delivering exceptional claims service to clients in the United Kingdom insurance market.

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