laims Processing Consultant (Afrikaans)
Reference # AG11/11/20/3
Contract Type Permanent/Contract
Location Cape Town, Western Cape, South Africa
Obtain information from insured or designated persons for the purpose of
validating claims using all resources available.
Job Functions Client Services
-Help manage customer by carrying out standard activities to complete the customer request.
-Building and maintaining relationships with dependencies (for example; Loss Adjusting, Towing etc) to help assist with customer's communication.
Data Collection & Analysis
-Ask questions, collect data from a variety of sources, analyse information and investigate claim.
Work Scheduling and operational compliance
-Organize own work schedule in order to get the job done, coordinating with support services and completed work within TAT.
-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.
-Respond to routine requests using telephonic conversation or emails (internal and external).
-Create, organize and maintain files containing the correspondence relating to policies and matters.
-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 additional cover.
Verbal and Written Communication
-Use clear and effective verbal and written communications skills and provide technical guidance when required to express ideas, request actions and formulate plans or policies.
-Use an understanding of numerical concepts to perform mathematical operations such as report analysis and provide technical guidance when
-Support business processes by understanding and effectively using standard office equipment and standard software packages.
-Basic computer skills.; Microsoft Office Basic..
Planning and Organizing
-Plan, organize, prioritize and oversee activities to efficiently meet business objectives.
Policy and procedures
-Interpret and understand policies and procedures, while making sure they match organizational strategies and objectives.
-Knowledge of general STI industry policy and procedures.
-Develop appropriate plans or perform necessary actions based on recommendations and requirements.
Data Collection and analysis
-Analyze and validate data to critically evaluate information to ensure accuracy of content.
Internet browser knowledge
-Apply concepts of knowledge / skill to search internet browsers.
Matric / Grade 12/ SAQA Accredited Equivalent (Essential);
Regulatory exam 5 (Essential)
1 to 3 years Financial Services industry experience (Essential); STI experience (Advantageous)
-Prepare insurance claim forms or related documents and review them for completeness.
-Enter claims information into database systems.
-Pay small claims.
-Calculate amount of claim.
-Post or attach information to claim file.
-Transmit claims for further investigation.
-Contact insured or other involved persons to obtain missing information.
-Review insurance policy to determine coverage.
-Organize or work with detailed office records, using computers to enter, access, search or retrieve data.
-Provide customer service, such as limited instructions on proceeding with claims or referrals to auto repair facilities or local contractors.
-SAQA Accredited Equivalent - It is the onus of the applicant to provide TIH and its subsidiaries with certified evidence that their qualification(s) meet the equivalent NQF level required for this role at time of application. As a registered Financial Service Provider, we are mandated to ensure that all our representatives are and remain fit and proper at all times. By applying for this role, you consent to having your relevant qualification and or accreditation or confirm that you are working towards meeting the competency requirements. You further consent to the relevant information being verified.
Job Closing Date 25/11/2020