Claims Handler urgently wanted: APPLY NOW
Johannesburg, Gauteng
Permanent
Company
Bryte Insurance Company Limited
Reference #
CH1
Published
15/07/2019
Contract Type
Permanent
Salary
Market Related
Location
Johannesburg, Gauteng, South Africa
Introduction
The purpose of the function is to attend to the adjustment and management of claims with the aim of minimizing the losses due to the company and approving only those claims that we are truly liable.
Job Functions
Client Services, Communications
Industries
Insurance
Specification
KEY TASKS & ACCOUNTABILITIES
Effective processing of claims
Prioritise daily activities to enable processing and maintenance of all claims
Mandate of minimum 1 million rand
Check the accuracy of registered claims cover details and add claimant details timeously
Confirm estimate is accurate, deducting excess to work out estimate of claim through investigating policy cover
Complete fraud list and Identify claims that requires further fraud verification
Ensure computer-generated letter is forwarded to relevant broker
Liaise with stakeholders to gather and ensure accuracy of information
If required, inform other relevant departments within claims (e.g. recoveries, salvages, claims verification units etc)
Capture diary entry immediately after registration process, describing progress and action of claim
Deal with and ensure resolution of queries on an on-going basis
Obtain necessary documents/assessors report and make amendments to estimates ensuring authorization within policy cover
Continually update and maintain diary system
Draw payment on relevant system, ensuring accuracy of banking details, invoice number, VAT numbers, class allocation, client release, etc
Ensure letters are forwarded to brokers demonstrating breakdown of payments
Ensure accurate codes are allocated to payment of claims to minimize leakage
Finalize payments on Workflow
Review all open files on a quarterly basis by assessing check reports and claims not processed report
If encounter system problems, log calls timeously with relevant department
Effective customer focus and service
Liaise with internal stakeholders to facilitate problem resolution and efficiency of work activities
Communicate with stakeholders on a daily basis to inform of progress of claims and claim policy and procedure
Deal with and resolve any queries relevant to area; if unable to resolve, escalate to manager for resolution
Represent the organization through maintaining high levels of professionalism, service excellence and customer excellence
Adhere to internal policies, processes and procedures
Effective adherence to company claims policy, standards and SLA
Ensure adherence to all company policies at all times
Ensure adherence to negotiated flexi hours
Maintain dress code, behaviour and absenteeism
Internal Relationship:
All Claims Departments, Sales and Underwriting.
External Relationship:
Brokers (Telephonically and Directly), Clients, All Claims Suppliers and Service Providers
Requirements
Professional Qualifications:
Minimum Degree or NQF Level 6
Minimum 5 years claims handling/ adjustment experience
Experience:
Proven experience in handling of large loss claims, especially cases valued over R1,000,000.00 in Property/ Business Interruption claims.
Relevant experience of managing service providers, negotiation, and face to face meetings with stake holders.
Sound knowledge, experience and understanding of short-term insurance
General Claims Handling skills
Understanding of Bryte guiding principles and philosophy and framework
Applications of claims technical guidelines
Basic insight into company strategies and business plans
Clear understanding of Financial Services compliance framework
Sound knowledge of Bryte organizational structure
In-depth knowledge and understanding of relevant company policies, processes, and procedures
Sound internal network
Knowledge of relevant workflow systems
Other Requirements
Accuracy
Attention to detail
Customer service orientation (including assertiveness)
Oral and written communication
Planning and organizing
Problem-solving
Self-awareness
Teamwork
Work standards
Technical Skills
Computer skills
Administrative skills
Telephone skills
Communication skills
Negotiation
Job Closing Date
22/07/2019. Apply Now
Source: ijobs
