Gap Claims Specialist

Job Description The Claims Specialist manages the assessment of claims and has specialised knowledge of the claims environment.
There is a strong focus on accurately and efficiently resolving the claim received whilst ensuring exceptional customer service and satisfaction Key Outcomes The accurate and efficient processing of claims captured Ad hoc duties- support in the operation of other divisions Contribute towards continuous improvement and innovation at process and procedure level To ensure that all claims processing and queries are attended to accurately and within the agreed turnaround time Contribute toward risk management Assist clients with queries and provide suitable query resolution Accurate completion of administrative targets on a daily basis Dealing with multiple telephonic queries from members, brokers and franchises Ongoing feedback to clients Ad hoc functions as required by Management Qualifications Qualifications Work Experience  Required Insurance Industry Experience  Preferred  Health Insurance Industry Experience  Education, Qualifications and Accreditation with Professional Body  Required Matric  FAIS / RE5 Preferred  FAIS / RE5 Accreditation with minimum 120 credits  Technical Skills or Knowledge   Required Computer Literate incl.
Microsoft Access Additional Information         Accountability       Action orientated       Collaborative       Communication       Business writing skills       Manage complexity       Problem solving skills       Decision thinking       Encourages engagement        Resilient and adaptive       Resourceful       Demonstrates self-awareness       Purpose driven       Significance and values orientated