Claims Processing Consultant-2 page is loaded Claims Processing Consultant-2 Apply locations Gauteng, Johannesburg time type Full time posted on Posted 9 Days Ago job requisition id JR100338 Join TIH, home to some of South Africa's leading financial service providers, and grow your career while being part of an organisation with purpose.Job Purpose
Process already-captured claims efficiently and accurately through drawing on the relevant criteria to ensure standardisation across the organisation to enable decision making on a claim.Responsibilities
Customer Management (Internal)
Help manage customer by carrying out standard activities to complete the customer request.
Data Collection & Analysis
Ask questions, collect data from a variety of sources, analyse information and investigate claim. Make decisions according to established criteria to ensure standardisation across the organisation by accurately administrating and underwriting claims. Use appropriate tools (ITC, supplier contract and/or negotiation) to accurately cost applicable claims on a day to day basis.
Work Scheduling and operational compliance
Organize own work schedule in order to get the job done, coordinating with support services and completed work within SLA. Ensure claims are finalised within the set parameters (turnaround time, terms and conditions applied accurately). Remain up to date current and new product knowledge to enable effective decision making.
Administration
Produce, update and provide best practice support to customers on the claims administration process and other departmental systems, in line with claims policy, rules and SLAs.
Correspondence
Respond to routine requests using telephonic conversation or emails (internal and external). Ensure regular feedback to services department and other stakeholders, as determined by the company and/or customer requirements to ensure customer receives appropriate feedback from the services department.
Document Management
Create, organize and maintain files containing the correspondence relating to policies and matters. Document Preparation
Prepare and manage claim documentation for customers.
Up-sell Customer Propositions
Identify a selection of products or services that may meet the customer's requirements, explain the product/service features influence the customer to add additionalEducation
Grade 12/ SAQA Accredited Equivalent (Essential); Relevant 3 year Business related degree / diploma (Advantageous); STI Qualification (Advantageous); RE compliant (Advantageous); FAIS compliant (Advantageous), School Grade 12 (Required)Experience
1-3 years Financial Services industry experience (Essential)
STI experience and VAPS experience (Advantageous).Think you have what it takes to be part of an unstoppable team who constantly finds better ways to give peace of mind? Don't wait, apply now. Telesure Investment HoldingsOur Work Experience is the combination of everything that's unique about our culture, our core values, our company meetings, our commitment to success, our recognition programs, but most importantly, it's our people. Our employees are self-disciplined, hardworking, curious, trustworthy, humble and truthful. They make choices according to what is best for the team, they live for opportunities to collaborate and make a difference, and they make us the #1 Top Workplace in our area.
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