Job Description

JOB DESCRIPTION:

The Claims Consultant will contribute to the Organizational goals by validating, assessing and finalizing claims within policy guidelines and performing all claim related functions in a manner that promotes the achievement of Company objectives and service excellence.

KEY OBJECTIVES, DUTIES AND RESPONSIBILITIES:

Ensure that policies, procedures and procedures are adhered to Ensure claims are handled accurately as per policy schedule of benefits Capture relevant information accurately to enable colleagues to follow-up and assist clients Ensure reference material / notes on claim file updated Assess, validate and process claims to prevent fraudulent incidents Liaise with customers, third parties and internal stakeholders from a claim administration perspective (Telephonically, face to face and in writing in a timeous manner throughout the duration of the claim) Ensure claims are finalized within prescribed time frames Ensure that the required documentation is completed accurately and thoroughly in order to assist with the efficient finalization of claims Ensure that queries and complaints are resolved timeously Follow up on outstanding diary items/queries/claims with relevant divisions until completion

EDUCATION REQUIREMENTS/EXPERIENCE:

Matric / Grade 12 Computer Literate Minimum 2 years claims experience, specifically in motor vehicle, accident damage or panel beating industry Knowledge of Short-Term Insurance RE5 will be advantageous

KNOWLEDGE AND SKILLS REQUIRED:

Deciding and initiating action Working with People Adhering to Principles and Values Presenting and Communicating Information Conflict handling and resolution Collaboration and teamwork Learning and Researching Delivering Results and Meeting Customer Expectations Following Instructions and Procedures Adapting and Responding to Change Coping with pressure and setbacks Achieving Personal Work Goals Self-motivated Excellent Communication Skills Working under pressure An intermediate level of conflict handling Microsoft Office skills, i.e., Outlook, Excel and Word are mandatory. Extensive knowledge of the Life Insurance Industry. An advanced level of understanding of motor vehicle panels. * Own & live up to company values