Manage and process claims by working together as a team to guide the broker / policyholder along the claims process, investigate the claim for legitimacy and the extent of the damage, and eventually approve or deny a claim based on the insured's claim filing paperwork, their coverage, and other factors.
Responsibilities
Insurance Claims Administration
Carry out a range of information gathering and data processing activities to support the administration of insurance claims, including an initial review of claims documentation to identify further information needed and/or to allocate cases to the appropriate claims specialists/investigators.
Document Management
Create, organize and maintain files containing the correspondence and records. Obtain all required information and documents to proceed with the claim.
Administration
Produce, update and provide best practice support on a wide range of MS documents, databases and other departmental systems to support the work ofmore senior colleagues.
Intermediary / Customer Service Management
Carry out standard intermediary / customer service activities and handle simple customer enquiries.
Stakeholder Engagement
Support stakeholder engagement by arranging actions, meetings, and events.
Compliance
Work within standard compliance systems and report simple non-compliance issues. Comply with service level agreements and quality standards.
Personal Capability Building
Maintain and build relevant knowledge and ensure effective updating of own product and system knowledge. Develop and maintain excellent process or technical skills by participating in assessment and development planning activities as well as formal and informal training and coaching.
Continuous Improvement
Contribute to optimising work practices and procedures and generate new ideas to assist in identifying continuous improvements and growth for broker's.
Data Management
Support others by working on a variety of data management tasks. Performance Management Assure all work meets technical / operations standards for quality and timeliness; use performance management systems to improve personal performance.
External Communications
Create positive experiences for clients by interacting courteously with them.
EDUCATION
General Education
Grade 12/ SAQA Accredited Equivalent (Essential); FAIS and RE5 qualification (Essential); Class of Business product knowledge (Essential).
Experience
General Experience 1 3 years Financial Services industry experience (Essential); Short-term insurance product knowledge / intermediary experience (Advantageous); ROC experience (Advantageous)
Additional Information
- SAQA Accredited Equivalent - it is the onus of the applicant to provide TIH and its subsidiaries with certified evidence that their qualification(s) meet the equivalent NQF level required for this role at time of application*Financial Sector Conduct Authority (FSCA) competency requirements: FAIS recognised qualifications / Regulatory Examinations / Class of Business Certification and / or CPD according to your DOFA (where applicable). As a registered Financial Service Provider, we are mandated to ensure that all our representatives are and remain fit and proper at all times. By applying for this role, you consent to having your relevant qualification and or accreditation or confirm that you are working towards meeting the competency requirements. You further consent to the relevant information being verified
