Claims Consultant urgently needed: APPLY HERE
Cape Town, Western Cape
Permanent
Company
Risk-Benefit Solutions
Reference #
2019-137
Published
26/06/2019
Contract Type
Permanent
Salary
Market Related
Location
Cape Town, Western Cape, South Africa
Introduction
To provide stakeholders (e.g. clients, account executives) with efficient claims advice and administration according to the required standards and procedures in support of the business strategy.
Job Functions
Administration
Industries
Insurance
Specification
Financial
Ensure appropriate minimisation of claims and claims expenses
Ensure and contribute to minimisation of general expenses
Client
Ensure that all stakeholder (e.g. clients, AE’s, insurers) communication is accurate, timeous, professional and relevant
Build and maintain mutually beneficial relationships with internal (e.g. account executives) and external (e.g. clients) stakeholders
Keep client informed regarding to progression of the claim
Ensure and contribute to achieving the required client satisfaction targets
Business processes
Adhere to company quality standards and broader regulatory frameworks wrt the following processes (but not limited to):
Claims Administration
Receive claims notification, and send and obtain any relevant forms or documents as may be required
Process and ensure all claims and recoveries are processed within the required parameters
Appoint assessor or loss adjustor
Apply policy terms and conditions
Keep internal system and records up to date at all times
Keep relevant internal stakeholders up to date on the progress of registered claims
Make assessment of claims validity and estimate value and administer mandated claims
Forward claims in excess of mandate to insurer
Obtain quotes for products and/or services
Follow and ensure adherence to claims settlement processes
Act as intermediary between insurer and client and timeously relay communication, requests and documentation
Follow the recoveries process, diarise follow-ups and keep clients informed
Follow and ensure adherence to underwriting processes for cancellations
Ensure productivity targets are met
Contribute towards and ensure continuous improvement in own and team performance
Adhere to company mandates
Participate and contribute to ad hoc projects
Report any suspected fraud, misrepresentation and/or dishonesty
Keep an accurate record of own activities
Learning and growth:
· Live the company values · Ensure continuous self-development · Share information and knowledge with the team
Requirements
Matric or equivalent
RE 5
FAIS appropriate qualification/credits
Computer literate
CIMS – advantageous
Excellent communication skills (verbal & written)
Min 1-2 yrs Personal Lines Claims experience is essential (gained at an insurer)
Job Closing Date
15/07/2019. Apply Now
Source: jobs365