This position will attend to the receipt of the claim and all administration of Short-Term Claims allocated. To provide service excellence in daily tasks when assisting clients with claims, providing correct information and to serve as the link between the client and the insurer. Provide meaningful input to facilitate the finalization of the Claim. Schedule and prioritize the workload to close the claim out within the required deadlines.
Education / Experience required:
Grade 12 qualification
Excellent command of the Afrikaans language – non negotiable
2+ years' experience working with short-term Insurance claims – non negotiable
Short-term insurance knowledge advantageous
RE5 examination certificate will be advantageous
Class of Business: Short Term Personal and Commercial Lines Certificates will be advantageous
CPD hours achieved in current cycle will be advantageous
Tertiary Qualification in short-term insurance will be advantageous
Computer skills and knowledge (especially of Word, Excel, Outlook, Internet) and knowledge of operation of standard office equipment
Knowledge of clerical and administrative procedures and systems, such as filing and proper record keeping
Knowledge of principles and practices of basic office/administrative management
Knowledge of client centricity
Excellent telephonic etiquette
Main job tasks and responsibilities:
Collecting required information and documentation pertaining to claims
Registration of claims (in accordance with applicable Insurance Company policies and procedures, as well as adhering to the company's responsibilities with such agreement)
Follow through with claims process until finalization
Keeping client up to date on progress of claims process
Update company records as required to reflect initial information about the claim as well as any changes that are made later
Addressing various coverage issues through the correct process and documenting through the correct process
Problem solving
Taking control of total claims team outstanding claims in terms of:Ensure regular follow ups and feedback to clients
Ensure collection from claims box
Ensure continuous and timeous attendance to claims
Ensure client satisfaction on all claims
Build and maintain constructive and effective relationships with clients by meeting.
Provide consistent, accurate, timely and pertinent communication to clients.
Respond to client inquiries/issues within the established timelines
Manage their own diary/follow up system on the cardinal system
Monitor and review client satisfaction
Maintain up to date records of all communication with clients
All other reasonable duties that might be assigned from time to time.
Skills:
Ability to work under pressure in a calm and collective manner
Effective communication skills
Accuracy and attention to detail
Data Analysis – Such as the full client claims history and the impact of that on the claim at hand
Problem Solving
Planning and Prioritizing
Please consider your application unsuccessful if you have not received a response within two weeks of applying
