Claims Consultant Commercial - Sandton Verfied

Salary Negotiable Sandton, Gauteng Sandton, Gauteng more than 14 days ago 16-04-2014 7:28:13 AM
14-05-2014 7:28:13 AM
Midrand based financial services company requires an experienced Claims Consultant to handle claims to completion according to specified claims procedures
Minimum Requirements:
• Matric
• FAIS Accredited NQF 4 – 150 Credits (Short Term Personal Lines / Commercial Insurance)
• Minimum 4 years experience in claims contact / administration centre environment
• Technical claims handling abilities - all classes

Job Description:
Suitably skilled and qualified Commercial Claims Consultant to take responsibility for:
• Ensuring rewarding service experience with each claim handled within Claims team in line with targets
• Maintaining constant feedback and proactive communication with clients
• Indemnification of clients according to set standards
• Ensuring adherence to standard operating procedures relating to claims processing
• Validating cover and requesting payments

• Authorising payments in respect of fast track claims

• Operating within delegated authorities framework to limit exposure

• Effectively attending to, and escalating claims queries and resolving expeditiously
• Ensuring all claims are voice-logged
• Processing claims according to set procedures
• Maintaining diary system to manage and update claims
• Identifying and escalating problem claims timorously
• Effectively controlling claims processes and workflow
• Correct settlement or repudiation of claims within agreed service standards
• Settlement of claims within delegated authority agreed with insurer
• Effective control over open claims in order to be free to settle new claims quickly