Job Description

ABOUT THE COMPANY

TIH is the holding company of some of South Africaxe2x80x99s leading financial service providers. Our portfolio includes short-term insurers, a long-term insurer, health insurance as well as an insurance and personal finance comparison platform. Wexe2x80x99re pioneers with a hunger for best, bringing customer-focused innovation and service excellence to the financial services industry. Wexe2x80x99re an undivided team of diverse thinkers and doers who believe in leading through technology and

pushing past their limits.

JOB PURPOSE

Obtain information from insured or designated persons for the purpose of validating claims using all resources available.

RESPONSIBILITIES

Client & Customer Management (External)

Help manage clients by carrying out standard activities and providing support to others.

Data Collection and Analysis

Produce accurate reports for others by collecting data from a variety of standard sources and inputting it into standard formats.

Work Scheduling and Allocation

Organise own work schedule in order to get the job done, coordinating with support services and assigning short-term tasks to others if necessary.

Administration

Produce, update and provide best practice support on MS documents, databases and other departmental systems to support the work of more senior colleagues. Tasks could include purchasing materials, entering budgetary information, time and expense recording and similar.

Correspondence

Respond to routine requests using form letters or emails and to more unusual requests by editing templates to create customised responses.

Document Management

Create, organise, and maintain files containing the correspondence and records of a senior colleague.

Document Preparation

Prepare routine letters, memoranda, reports and similar documents following detailed instruction. This is likely to involve using the full range of functions within standard office software.

TASKS

• Prepare insurance claim forms or related documents and review them for completeness.
• Enter claims information into database systems.
• Validation of high quantum claims (Motor and Non-Motor)
• 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.

BEHAVIORAL COMPETENCIES

Decision Quality

Makes good and timely decisions that keep the organization moving forward. For example, knows when to act independently and when to escalate issues. Integrates various inputs, decision criteria, and trade-offs to make effective decisions. Typically makes good independent decisions.

Manages Complexity

Makes sense of complex, high quantity, and sometimes contradictory information to effectively solve problems. For example, looks at complex issues from multiple angles; explores issues to uncover underlying issues and root causes; sees the main consequences and implications of different options.

Customer Focus

Builds strong customer relationships and delivers customer-centric solutions. For example, probes deeply into customer needs to identify less obvious interests or expectations. Consistently goes above and beyond to understand customer requirements and surpass their expectations.

Drives Results

Consistently achieves results, even under tough circumstances. For example, devotes considerable effort to surpassing goals and achieving the best possible results; goes above and beyond to achieve excellence. Drives ahead with great focus when faced with obstacles and setbacks; maintains productivity and a positive attitude.

Being Resilient

Rebounds from setbacks and adversity when facing difficult situations. For example, is calm and professional in difficult situations; continues to work toward objectives. Overcomes obstacles without becoming discouraged; draws lessons from failures. Recovers from setbacks and adversity.

Manages Conflict

Handles conflict situations effectively, with a minimum of noise. For example, disagrees with others in a respectful and tactful manner; handles conflicts and differences of opinion in a calm, composed manner; rebounds from conflicts without animosity.

Communicates Effectively

Develops and delivers multi-mode communications that convey a clear understanding of the unique needs of different audiences. For example, listens attentively and takes an interest. Keeps others well informed; conveys information clearly, concisely, and professionally when speaking or writing.

Ensures Accountability

Holds self and others accountable to meet commitments. For example, accepts responsibility for own work, both successes and failures. Handles fair share and does not make excuses for problems. Usually meets commitments to others.

Plans and Aligns

Plans and prioritizes work to meet commitments aligned with organizational goals. For example, outlines clear plans that put actions in a logical sequence; conveys some time frames. Aligns own work with relevant workgroups. Takes some steps to reduce bottlenecks and speed up the work.

Collaborates

Builds partnerships and works collaboratively with others to meet shared objectives. For example, learns how to operate as a team player, contributing actively to the group's efforts. Seeks others' inputs, appreciates their contributions; offers to help when the need is clear.

SKILLS Verbal Communication

Uses clear and effective verbal communications skills without supervision and provides technical guidance when required on expressing ideas, requesting actions, and formulating plans or policies.

Numerical Skills

Use an understanding of numerical concepts to perform mathematical operations such as report analysis independently and provide technical guidance when required.

Computer Skills

Supports business processes without supervision by understanding and effectively using standard office equipment and standard software packages, while providing technical guidance as needed.

Basic computer skills, Microsoft Office Basic

Planning and Organising

Works without supervision and provides technical guidance when required on planning, organising, prioritising, and overseeing activities to efficiently meet business objectives.

Policy and procedures

Works with guidance (but not constant supervision) to develop, monitor, interpret and understand policies and procedures, while making sure they match organisational strategies and objectives.

Knowledge of general STI industry policy and procedures

Action Planning

Works with guidance (but not constant supervision) to develop appropriate plans or perform necessary actions based on recommendations and requirements.

Data Collection and Analysis

Works under guidance (but not constant supervision) to analyse data trends for use in reports to help guide decision making.

Internet Browser Knowledge

Works with full competence to use a range of Internet browsers to access data. Typically works without supervision and may provide technical guidance.

EDUCATION

General Education

• Matric / Grade 12/ SAQA Accredited Equivalent
• Regulatory exam 5 (Essential)

EXPERIENCE

General Experience

• 1-3 years Financial Services industry experience (Essential)
• Commercial/Business Insurance and STI insurance experience (Advantageous)

Telesure Investment Holdings