Claims Assessor
Nedbank
Johannesburg, Gauteng, ZA
2d ago
source : Latest Jobs

Job Responsibilities

  • Comply with Service Level Agreement or Claims Protocol by administering and facilitating the claims process.
  • Reduce risk to Nedbank Group by monitoring, identifying and reporting trends in claims.
  • Build networks with stakeholders by participating in forums.
  • Identify, build and maintain relationships with stakeholders to understand their short term insurance needs.
  • Meet client needs by ensuring claims are processed according to service level agreement and insurance policy.
  • Initiate and process claims to finalisation by ensuring compliance to insurance policy.
  • Comply with Service Level Agreements by adhering to self imposed standards and timeframes.
  • Minimise risk by complying with all Nedbank policies and procedures.
  • Keep abreast of legislation and other industry changes that impacts on role by reading the relevant newsletters, websites and attending sessions.
  • Understand and embrace the Nedbank vision and demonstrate the values through interaction with team and stakeholders.
  • Improve personal capability and stay abreast of developments in field of expertise by identifying training courses and career progression for self through input and feedback from managers
  • Ensure personal growth and enable effectiveness in performance of roles and responsibilities by ensuring all learning activities are completed, experience practiced and certifications obtained and / or maintained within specified time frames.
  • Ensure information is provided correctly to stakeholders by maintaining and sharing knowledge with team.
  • Contribute to a culture conducive to the achievement of transformation goals by participating in Nedbank Culture building initiatives (e.
  • g. staff surveys etc.).

  • Participate and support corporate social responsibility initiatives for the achievement of key business strategies.
  • Identify and recommend opportunities to enhance processes, systems and policies and support implementation of new processes, policies and systems.
  • FAIS Affected FAIS Affected - Yes Essential Qualifications - NQF Level

  • Matric / Grade 12 / National Senior Certificate
  • Preferred Qualification Higher Certificate : Short Term Insurance Minimum Experience Level 2 - 3 years working experience as a Claims Assessor working with Commercial and Personal Lines within the Short Term Insurance sapce in the Banking / Financial Services Industry. Type of Exposure

  • Working with a group to identify alternative solutions to a problem
  • Completing various administrative duties (e.g.; answering phones; making copies; filing)
  • Managing conflict situations
  • Comparing two or more sets of information
  • Tracking cost against a budget
  • Capturing data
  • Checking accuracy of reports and records
  • Drafting reports
  • Building and maintaining effective relationships with internal and external stakeholders
  • Technical / Professional Knowledge

  • Administrative procedures and systems
  • Banking procedures
  • Business principles
  • Business terms and definitions
  • Data analysis
  • Governance, Risk and Controls
  • Relevant regulatory knowledge
  • Relevant software and systems knowledge
  • Business writing skills
  • Cluster Specific Operational Knowledge
  • Behavioural Competencies

  • Earning Trust
  • Collaborating
  • Customer Focus
  • Decision Making
  • Initiating Action
  • Work Standards
  • Managing Work
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