Claims Consultant.

Closing Date 2023/10/24

Reference Number HOL231016-4

Job Title Claims Consultant

Business Unit Hollard Insure

Department Western Cape Region

Job Family Operations - incuding Claims, Policy Servicing, Underwriting and Retentions

Job Type Classification Permanent

Reporting To Team Leader

Number of Positions 1

Location - Town / City Cape Town

Location - Province Western Cape

Location - Country South Africa

Job Advert Summary

Hello an exciting new opportunity has just come available in our Hollard Insure, Western Cape Region. We are looking to recruit a Claims Consultant.

Summary of Role and Context

Process all claims assigned, within the set standards required by the company thus contributing to the productivity of the division

Enhance the image of the company through the continuous delivery of efficient and effective customer service

Key Responsibilities

Technical expertise: To evaluate and investigate all claims received to prevent possible leakage to the company in the settlement of claims

Customer service: Maintain a high level of service to customers (internal and external) according to service level agreements and within the service standards as set by the company

Service to brokers: Over and above normal claims processing duties such as technical advice and other

Effective and timeous communication: Communicate in a professional manner with internal and external parties and respond to queries within 24 hours

Registration: All claims received to be registered within 24 hours of receipt

Required Knowledge And Experience

Good knowledge of Commercial, Agri & Personal insurance with at least 5 years experience

Claims procedure

Insurance terminology

Legal knowledge prescription act, insurance act, FAIS

Underwriting knowledge ability to interpret policy wording, understanding how claims information impacts on underwriting

Basic risk assessment knowledge understand the assessment process, with an ability to appoint the right assessor

Reinsurance and treaties basic understanding

Product knowledge

Basic financial knowledge estimates, premiums, co-insurance

FAIS compliance

Must be fully bilingual (English and Afrikaans) read and write

Aggregate and Burner policy knowledge

Educational Requirements

Insurance qualification or equivalent advantageous