Job Description

PURPOSE OF THE JOB:

Effective handling, mediation and verification of claims registered.

DUTIES AND RESPONSIBILITIES OF THE JOB:

Capture relevant claim information in format requested by the insurer(s) for monthly reporting purposes to relevant stakeholder. Provide ad hoc reports as requested by insurers from time to time. Ensure knowledge of current processes and that processes are followed as instructed. Ensure knowledge and usage of current filing systems. Ensure validity of system(s) information captured data. Distribute received claims Identify fast track claims and distribute as per current process Request authorization regarding late notifications Verification of registered claims
? Insured peril / Peril codes



? Premiums received



? Estimates/Excesses/Limit of cover



? Relevant/necessary documents received
Take action on claim:
? Appoint an assessor



? Give authorization for replacement/repairs



? Determine the value of loss



? Send agreement of loss mail/document for signature of insured to broker/assistant
Repudiations:
? Ensure correct reasons are used when issuing repudiations letters



? Send repudiation letter to insurer for approval and sign off



? Send repudiation letter to broker/assistant and insured
Payments:
? Ensure correctness of invoices received



? Request payments



? Diarize for approval and proof of payment



? Send proof of payment to broker/assistant/service providers
Handling of problematic claims
? Escalate to relevant manager (when necessary)



? Handling of complaints and escalate to relevant manager when necessary



? Identify policies where remedial action should be implemented



? Handling of ex-gratia payments in collaboration with relevant manager
Escalate possible PI claims to relevant manager


National Senior Certificate (candidates with completed FAIS, RE5 and/or any other insurance related qualification will receive preference) Candidates with a certificate in Excel will receive preference 3 Years 'experience in a short-term insurance, claims handling and mediation

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We are committed to transformation through the appointment of persons from designated groups and potential candidates from these groups will enjoy preference. Kindly note that a consumer credit record will be requested in respect of all appointments which involve dealing with cash or finances. Should you meet the above requirements and be of the opinion that you can make a contribution to the company, kindly register and apply on our Career Page at www.groupcareers.co.za Should we not have contacted you within six weeks of the closing date, you may assume that your application has been unsuccessful.

CLOSING DATE: 13 MAY 2025