Claims Handler urgently wanted: APPLY NOW

Claims Handler

Claims Handler urgently wanted: APPLY NOW

Johannesburg, Gauteng
Permanent
Company
Bryte Insurance Company Limited

Reference #
CH1

Published
15/07/2019

Contract Type
Permanent

Salary
Market Related

Location
Johannesburg, Gauteng, South Africa

Introduction
The purpose of the function is to attend to the adjustment and management of claims with the aim of minimizing the losses due to the company and approving only those claims that we are truly liable.

Job Functions
Client Services, Communications

Industries
Insurance

Specification
KEY TASKS & ACCOUNTABILITIES

Effective processing of claims

Prioritise daily activities to enable processing and maintenance of all claims
Mandate of minimum 1 million rand
Check the accuracy of registered claims cover details and add claimant details timeously
Confirm estimate is accurate, deducting excess to work out estimate of claim through investigating policy cover
Complete fraud list and Identify claims that requires further fraud verification
Ensure computer-generated letter is forwarded to relevant broker
Liaise with stakeholders to gather and ensure accuracy of information
If required, inform other relevant departments within claims (e.g. recoveries, salvages, claims verification units etc)
Capture diary entry immediately after registration process, describing progress and action of claim
Deal with and ensure resolution of queries on an on-going basis
Obtain necessary documents/assessors report and make amendments to estimates ensuring authorization within policy cover
Continually update and maintain diary system
Draw payment on relevant system, ensuring accuracy of banking details, invoice number, VAT numbers, class allocation, client release, etc
Ensure letters are forwarded to brokers demonstrating breakdown of payments
Ensure accurate codes are allocated to payment of claims to minimize leakage
Finalize payments on Workflow
Review all open files on a quarterly basis by assessing check reports and claims not processed report
If encounter system problems, log calls timeously with relevant department

Effective customer focus and service

Liaise with internal stakeholders to facilitate problem resolution and efficiency of work activities
Communicate with stakeholders on a daily basis to inform of progress of claims and claim policy and procedure
Deal with and resolve any queries relevant to area; if unable to resolve, escalate to manager for resolution
Represent the organization through maintaining high levels of professionalism, service excellence and customer excellence
Adhere to internal policies, processes and procedures

Effective adherence to company claims policy, standards and SLA

Ensure adherence to all company policies at all times
Ensure adherence to negotiated flexi hours
Maintain dress code, behaviour and absenteeism

Internal Relationship:

All Claims Departments, Sales and Underwriting.

External Relationship:

Brokers (Telephonically and Directly), Clients, All Claims Suppliers and Service Providers

Requirements
Professional Qualifications:

Minimum Degree or NQF Level 6
Minimum 5 years claims handling/ adjustment experience

Experience:

Proven experience in handling of large loss claims, especially cases valued over R1,000,000.00 in Property/ Business Interruption claims.
Relevant experience of managing service providers, negotiation, and face to face meetings with stake holders.
Sound knowledge, experience and understanding of short-term insurance
General Claims Handling skills
Understanding of Bryte guiding principles and philosophy and framework
Applications of claims technical guidelines
Basic insight into company strategies and business plans
Clear understanding of Financial Services compliance framework
Sound knowledge of Bryte organizational structure
In-depth knowledge and understanding of relevant company policies, processes, and procedures
Sound internal network
Knowledge of relevant workflow systems

Other Requirements

Accuracy
Attention to detail
Customer service orientation (including assertiveness)
Oral and written communication
Planning and organizing
Problem-solving
Self-awareness
Teamwork
Work standards

Technical Skills

Computer skills
Administrative skills
Telephone skills
Communication skills
Negotiation

Job Closing Date
22/07/2019

Apply Now

Source: Indeed

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