Claims Consultant - Johannesburg, South AfricaThis advertiser has chosen not to accept applicants from your region.We pride ourselves on our superior customer experience for all our customers, whether internal or external, by applying the highest technical claims knowledge and systems understanding when resolving claims and providing support within the company. Our area of expertise consists of building claims. The inherent goal is to consistently exceed customer expectations as governed by regulations and to drive timely settling of claims while applying risk management principles at a consultant level.Job PurposeThe goal is to consistently exceed customer expectations and drive timely claims settlement while applying risk management principles.Claims ProcessingThe following directly centers around which your daily obligations revolve:Authorize claims within the set mandate and resolve all claims within the agreed productivity targets and turnaround times by utilizing the claims diary system effectively.Apply and effectively communicate technical skills and resolve all technical issues using available tools and systems.Demonstrate a clear understanding and execution of customer complaints and resolutions that must be maintained and exceeded, as well as a clear understanding of claim rejections.Demonstrate a clear understanding of the management of claims handling that must be followed within the regulated agreements specified by the relevant regulatory boards.Ensure a clear understanding of all payments, the correct application of rates to be authorized to the service provider, and the correct appointment of service providers to the claims.Demonstrate a thorough understanding of the report and quotes to communicate prompt claims resolution to the customer.Have a clear understanding of how to operate a claims management system, as well as the use of relevant tools that can enable the quick resolution of a claim and ensure effective communication.Have a working knowledge of the internet and how to use Google Maps.Plan, Communicate, Solve Problems, And Carry Out Decisions EffectivelyEnsure that all customers are treated fairly.
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