Senior Claims Handler
Peoplefinder Career Placements
Bloemfontein, Free State, ZA
4d ago
source : JobVine

Our client, a financial service provider, requires the service of an experience Claims Handler who will be responsible for capturing, validating and administering claims to ensure efficient and accurate claims processing and costing, while delivering excellent service to the customerKey performance areas : ?

Ensure capturing of detailed, accurate information?Ensure correct information is obtained from the customer - by asking the appropriate questions and listening - to make correct decisions?

Use appropriate tools (TIAL, supplier contact and / or negotiation) to accurately cost the claim, and make informed and appropriate decision which is correct for the business and reasonable for the customer?

Remain up to date (have good general knowledge of) with insurable goods, and knowing where to find appropriate information?

Ensure claims are finalised within set parameters (turnaround time, terms and conditions applied accurately)?Ensure regular feedback to customers and other stakeholders, as determined by the company and / or customer requirements?

Building and maintaining relationships, and liaising with, key stakeholders (e.g.

Assessors, Panel beaters, Brokers, Legal, suppliers etc.) to meet job objectives?Taking accountability for full resolution of claims processes (incl.

the communication of the outcome of the claim), to deliver a quality service to, and retain, customers?Take accountability for the resolution of customer complaints, with a view to customer retention?

Be innovative and use judgement to solve unique or unusual customer situations outside set parameters, with a view to customer retention.

  • Deliver on Treating Customers Fairly principles in alignment with regulatoryThe successful candidate must have : ?Matric with a RE5 qualification ?
  • 1 3 Years experience in the Financial / insurance / call-centre environment ?Experience in Claims is preferable ?Experience in TIAL / System A / ROC will be advantageous ?

    Excellent computer literacy (MS Excel, Outlook, Word etc.)?Knowledge of Short term insurance industry / policy wordings / assessor reports / insurance principals?

    Systems knowledge (Capturing and storing information, database orientated etc.) Please note that only short listed candidates will be contacted.

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