Claims Consultant - Cape Town

2019/10/24 12:02:13 PM
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.

· Ensure appropriate minimisation of claims and claims expenses
· Ensure and contribute to minimisation of general expenses

· 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 in ad hoc projects
· Report any suspected fraud, misrepresentation and/or dishonesty
· Keep accurate record of own activities

Learning and growth:
· Live the company values · Ensure continuous self-development · Share information and knowledge with the team

· Matric or equivalent

· RE 5

· FAIS appropriate qualification/credits

· Computer literate

· CIMS - advantageous

· Excellent communication skills (verbal & written)

· Min 3 yrs Personal Lines Motor and Non-Motor Claims experience is essential (gained at an insurer)

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