Claims Consultant - Umhlanga in KwaZulu-Natal - Future Careers

Future Careers

Future Careers specialises in Retail Recruitment and Talent Acquisition and Branding. We are currently based in Durban and Johannesburg. We handle both local and international vacancies. Recruiter from sector Human Resources, located in KwaZulu-Natal, From 1 to 10 workers

    About this job ad 13 July


  • Umhlanga, eThekwini, KwaZulu-Natal
  • Description

  • Effective Claims processing
    Authorize all claims within set mandate
    Ensure that all claims within the designated portfolio are effectively and timeously processed within the stipulated turnaround times
    Ensure that the agreed productivity targets are consistently achieved.
    Attend to customer complaints within stipulated timeframes, act on the root cause(s) and maintain an accurate aggregate record of all complaints.
    Attend to your daily operational diary system
    Ensure that all payments made are accurate and to the appropriate service providers.
    Ensure that an accurate record of all interactions with customers is maintained, including an accurate and comprehensive description of how the incident occurred and event log notes
    Ensure that the customers are always provided with all the necessary information if unsatisfied with the rejection
    Ensure that the amazing service principles are adhered to at all times.
    Effective planning, problem solving and decision making
    Manage the correct, consistent interpretation and application of the policy wording and ensure that all claims are treated equitably.
    Determine whether the reported incident is claimable.
    Peruse, analyze, understand and question the assessment findings before communicating in technical detail with customers, loss adjusters.
    Think laterally in dealing with claims and engage relevant parties to consult or debate circumstances of claims.
    If a claim is suspicious refer to management en-route to internal forensics division.
    Determine that an endorsement is warranted on a specific policy in light of adverse claims history or particular circumstances.
    Handle rejections and difficult clients in a fair, sensitive and persuasive oral manner while being assertive.
    Decide which appropriate specialist service providers to engage on each claim, if necessary, such as engineers, etc.
    Effective Relationship Building
    Daily relationships with:
    Payment authorization and finance division with regards to payments and service delivery issues
    Customer contact centre with regard to customer complaints and technical support,
    Policy Administration to advise of any policy amendments or client queries / requests
    New Claims/Servicing area to advise on any noted anomalies or trends that could be affecting effective processing of claims
    Supply Management to ensure that the service providers strictly adhere to the current service level agreement.
    Daily interactions with management to advise of any contentious matters or urgent claims that require attention or authorisation.
    Daily relationships with:
    Customer base in dealing with queries or providing feedback proactively,
    Panel or non-panel service providers ensuring customer service delivery, especially loss adjusters, quantity surveyors, forensics experts, etc.
    SAHL representatives on various customer issue
    Internal and external auditors during interim or final company audits
    Minimum Education Qualification:
    Preferred Qualification:
    Insurance related qualifications e.g. COP and HCII
    Minimum Experience:
    4 years insurance related experience, preferably Homeowners products in a claims assessment role
    Preferred Experience:
    5 years insurance related experience, preferably with Homeowners products
    5 Years underwriting and claims
    5 Years HOC Claims Experience
    How to Apply
    Please forward your CV to ************************
    Should you not be contacted within two weeks, kindly consider your application unsuccessful.

  • Requirements

  • Language(s): English
  • Availability for travel: No
  • Availability for change of residence: No


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Ad summary

  • Claims Consultant - Umhlanga  in eThekwini, KwaZulu-Natal

  • Recruiter

    Future Careers
  • Type of contract

    Permanent contract

  • Apply now

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