Short Term Claims Specialist

SUMMARY:
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POSITION INFO:

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:

Daily servicing of clients will include but is not limited to:

• 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