Location: Sandton
Summary
The learner should be able to process and handle claims within the delegated authority by ensuring validity, assessing liability and negotiating settlement, whilst ensuring excellent customer service and cost containment.
The management of claims should be within
the governed framework to ensure compliance with the short term insurance regulations.
Minimum Requirements
Minimum Qualifications:
Matric.
Minimum Experience:
None.
Duties and Responsibilities
1. Administration and Claims processing
Perform administration functions – registration of new claims and loading (and authorization) payments.
Examine and validate new claims and any related documentation thereof.
Adjust claims and ensure that the merits are
inline with Sasria policy cover.
Ensure that the appropriate documents supporting the quantum are received and the calculations are correct.
Perform document diary maintenance on IMS system.
Inform underwriting department of gaps in cover, omitted documents as well as losses/ gains on premium.
Handle all customer enquiries and queries promptly and in-line with policy.
2. Agency/ Broker Liaison
Negotiate the settlement of claims.
Liaise with Agent companies and brokers regularly on the progress of the claim.
Update all relevant stakeholders on the progress of the claim.
3. Perform ad hoc tasks
Perform any reasonable tasks as and when required by the Line Manager.