Compliance requirements:Minimum five years relevant work experience in short term insurance claim settlement (Personal and Commercial claims, Motor and Non-Motor).COMPETENCIES REQUIRED TO PERFORM OUTPUTS AND ROLES ASSOCIATED WITH THESE OUTPUTS:Results oriented Commitment Proficiency - Continuous Learning - Honesty and IntegrityAdaptable to change - Strategic thinking - Team player - Goal oriented - Coaching and consulting - Time management -Communication skills - Ability to build good relationshipsWork well under pressureKEY PERFORMANCE AREAS:Claims HandlingManaging own area of controlMonthly reportingAdmin drivesKEY CLIENTS: Brokers, direct clients, Managers, Directors, Suppliers and fellow employees.Registering of new claims:Register all new claims received (as outlined in the registration SOP) and raise an appropriate reserve as outlined in the reserving methodology.All claims received must be registered on the claims system within 24 hours.
All claims received after 15:00 must be registered before 12:00 on the following business dayAction any immediate claims processing requirements in accordance with the relevant Claims procedure manual i.e.
Appointment of specialist (assessor/adjuster/repairer/supplier)Diarise all newly registered claims for the next appropriate action date i.e.
to follow up on specialist report/ outstanding documentation to ensure claims processing happens timeouslyContinuously update the claims activity TAB in respect of all actions taken on the claimRegular liaison and communication with broker/ client on progress of the claimActioning of Queries (telephone and email):Attend to all queries received relating to "in-progress" claims timeously as per company turn-around timesAction any claims processing requirements on receipt of new claims information, within the prescribed company turn-around timesAmend reserves in accordance with reserving methodology and new information receivedDiarise all "in-progress" claims for the next appropriate action date to ensure claims processing happens timeouslyContinuously update the claims activity TAB in respect of all actions taken on the claimRegular liaison and communication with broker/ client on progress of the claimAction current day diary/ User note:Attend to all current day diary and user note items timeously as per company turn-around timesAction any claims processing requirements as outlined in the diary or user note item, within the prescribed company turn-around timesAmend reserves in accordance with reserving methodology based on the action of the diary or user note itemRe-diarise (where necessary) all "in-progress" claims for the next appropriate action date to ensure claims processing happens timeouslyContinuously update the claims activity TAB in respect of all actions taken on the claimRegular liaison and communication with broker/ client on progress of the claim"In-Progress"/ Outstanding claims:Action any claims processing requirements in respect of the "In-Progress"/ Outstanding claims as per the target provided by the Team Leader.
(daily)Amend reserves in accordance with reserving methodology based on the action required on the claimDiarise (where necessary) all "in-progress" claims for the next appropriate action date to ensure claims processing happens timeouslyContinuously update the claims activity TAB in respect of all actions taken on the claimRegular liaison and communication with broker/ client on progress of the claimProvide daily feedback on actioned claims (as per the target agreed) to the Team LeaderEnsure invoices and Agreements of loss are processed for payment in accordance with SOP and Management requirementsFinalize/ Settle claims in accordance with relevant company claims procedurePayments to Suppliers and Clients:- Process Invoice for authorisation and payment upon receipt thereofOUTCOMES / OUTPUTS:Timely Responses to email and telephonic messages.Ensure that accurate record is kept of all new matters received in the dept.Maintaining professional behavior and work ethic at all timesDisplay personal accountability for own actions, quality of work and personal developmentEnsure that all deadlines are metExhibit the Companys Core Values at all times (Professionalism, Integrity, Perseverance, Positive Attitude)Keeping to prescribed hours/ timekeepingTeam player and adhere to the backup arrangement as required by department to ensure cohesion