Job Description

Job Summary

Duties and Responsibilities:

• Capturing of all new claim where applicable.
• One point of contact for the client/broker and adherence to first call resolution.
• Deliver exceptional client service that exceeds customers' expectations through proactive,

innovative and appropriate claims handling.

• Ensures that customer claim is handled efficiently.
• Verifies FNOL data or documentation provided to ensure correct settlements of claim
• Attend to validation and first call actions on all claims within 1 working hour after registration.
• Achieve minimum targets were applicable.
• Maintain appropriate diaries and messages on the operating system.
• Client input and communication is an integral part at the start of the entire claims value chain,

ensuring that complete and accurate data/documentation is obtained and captured. This
determines the direction of the claim to the entire claims value chain.

• Effectively maintains oversight of all relevant claims tasks and manages the claims handling

process to achieve timely settlement and to minimise inaccuracies

• Identify, investigate and resolve any issues relating to claims being handled in line with claims

policies and procedures such as SLAs and TAT.

• Accurately check/determine whether appropriate cover is in place, interpret policy wordings

and conditions to determine the validity of claims and advises the broker/policyholder
accordingly.

• Identify potential non-disclosure and misrepresentation cases and follow Insurer's procedures

to deal with these situations.

• Identify any red flags on claims which are potentially fraudulent and follow Insurer procedures

for dealing with these.

• Identify when a specialist is needed to investigate a claim and follow Insurers policies and

procedures for appointing these.

• Identify possible recovery and third-party claims and link the claim to the legal department

upon registration.

• Negotiates effectively within agreed mandate limits using an appropriate negotiation style.
• Be familiar with the Insurers estimate philosophy and apply accordingly.
• Adhere to Brolink' s guidelines for referral of claims to management (e.g., large losses)
• Selects and appoints external experts/vendors following Insurer's procedures and authority

levels.

• Utilises preferred service suppliers when dispatching service to clients in line with BBEEE

targets e.g., Spend direction tools.

• Assist with emergencies and afterhours process for outsourced business.

• Minimizes cash settlements vs utilization of preferred suppliers for settlement by managing the

percentage of cash versus quantum.

• Demonstrates an effective communication style, that motivates, across internal and external

teams and individuals that may become involved with claim tasks.

• Salvage collection and management of timelines on salvage claims
• Meeting of set deadlines.
• Validate claims accordingly within the department structure.
• Deliver strategic results in term of the Brolink Vision and Mission.
• Attendance of weekly team meetings, participation on one-on-one discussion and other

meetings required from time to time

• Align own behaviour with the organisation culture and values.
• Demonstrate commitment toward the team and participate in building team culture.
• Collaborate and work closely with all role players thereby leveraging constructive team

dynamics and innovation

• Identify and recommend areas/ways to improve processes.
• Proactively ensure the most effective use of time, resources, money, materials or equipment in

line with policies and procedures.

• Comply with corporate governance policies, procedures and standards.
• Proactively suggest improvements in customer services where applicable.
• Building relationships with all stakeholders, including brokers and service providers, to best

support the company shared goal to achieve profit.

• Manage own development to increase own competencies.
• Adhere to the company policies and procedures and contracted performance agreement.

QUALIFICATIONS AND EXPERIENCE

Minimum Requirements:

• Matric is an essential requirement
• FAIS Credits (as per FAIS requirement)
• Must be Fit & Proper in terms of the FAIS Act
• Regulatory Exam: Representatives
• Must not be debarred with FSB

Work Experience

Minimum Requirements:xe2x80xa2 2 - 5 years' experience: Personal lines claims experience with all types of Motor and NonMotor claims. Commercial experience will be an advantage.

• Full function claims administration (registration of claim, appoint assessors, read assessors

report, make decision on claim up to payment of claim)

• Experience in the financial services industry or short-term insurance industry

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