Senior Claims Consultant

A recent professional profile photo is to accompany your application EMPLOYMENT TYPE : Permanent SECTOR : Insurance BASIC SALARY : Market Related START DATE : A.S.A.P / Immediate REQUIREMENTS: 3 years commercial claims experience Microsoft Office (Word, Excel) CIMS - advantageous Matric or equivalent qualification RE5 NON NEGOTIABLE FAIS compliant (credits and/or full qualification) DUTIES: Ensure appropriate minimization of claims and claims expenses Ensure and contribute to minimization of general expenses Ensure that all stakeholder (e.g. clients, AEs, 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 Claims Administration Receive claims notification, and send and obtain any relevant forms or documents as may be required Administer complete claims process according to defined claims procedures until claims are settled 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 services Arrange approval and payment for claims costs in line with claims and cover Act as intermediary between insurer and client and timeously relay communication, requests and documentation Follow the recoveries process, diarize follow-ups and keep clients informed 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 Live the RBS values by committing to the organizational values Ensure continuous self-development Share information and knowledge with the team HOURS: Mon Fri: 08:00 16:30