Non Motor Claims Specialist
Cape Town
1d ago
source :

Cape Town - Our client, a short term insurance underwriter, is currently looking for a Non Motor Claims Specialist.REQUIREMENTSACADEMIC (DEGREE OR DIP)Matric Certificate essentialRE highly advantageousHigher Certificate in Short term Insurance -NQF 5 or Full Qualification NQF 4 highly advantageousMINIMUM OTHER TRAINING REQUIREDComputer literate Microsoft Word, Excel, and OutlookMINIMUM YEARS OF FORMAL & INFORMAL TRAINING REQUIRED1 - 2 Years relevant work experience in claims validations and settlementExposure to short term insurance claims administration highly advantageousCOMPETENCIES REQUIRED Ability to function independently and under pressure Conflict resolution Excellent interpersonal and communication skills Assertiveness Deadline driven High attention to detail Proactive / ability to use own Initiative / Innovative Flexibility and adaptability to change.

Computer literate. Effective Time management skills. Honesty, Integrity and reliability Team work Must be willing to complete studies (Insurance related)JOB SPECIFIC INFORMATIONKey Performance Areas Validation of claims in line with checklist and SOP’s Appointment of necessary providers AuthorizationsSettlement of claims Rejection of claims Processing payments within the turn-around time Payment confirmations to Brokers and Suppliers Assisting clients and brokers over the phone / email with claims and queries Complaints handling and resolution Liaising with Service Providers Liaising with brokers and clientsKey clientsBrokers, internal staff and managers, service providers & policy holders

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