Nedbank Claims Consultant

Join TIH, home to some of South Africas leading financial service providers, and grow your career while being part of an organization with purpose.

Job Purpose

Process already-captured claims efficiently and accurately through drawing on the relevant criteria to ensure standardisation across the organisation to enable decision making on a claim. Assist with any adhoc administrative tasks and provide support the Inbound Team as and when required.

Responsibilities

Customer Management (Internal)

Respond to customer emails and ensure follow up calls where required in a professional manner.

Manage and resolve customer complaints and provide product and service information to customers.

Identify customer claims and route calls to appropriate department.

Help manage customer by carrying out standard activities to complete the customer request.

Analyse and respond to emails received, ask questions and probe for clarity to gather relevant information to assist in resolving customer complaint or request.

Data Collection & Analysis

Ask questions, collect data from a variety of sources, analyse information and investigate claim.

Make decisions according to established criteria to ensure standardisation across the organisation by accurately administrating and underwriting claims.

Use appropriate tools (ITC, supplier contract and/or negotiation) to accurately cost applicable claims on a day to day basis.

Work Scheduling and operational compliance

Organise own work schedule in order to get the job done, coordinating with support services and completed work within SLA.

Ensure claims are finalised within the set parameters (turnaround time, terms and conditions applied accurately).

Remain up to date current and new product knowledge to enable effective decision making.

Administration

Produce, update and provide best practice support to customers on the claims administration process and other departmental systems, in line with claims policy, rules and SLAs.

Update policy information e.g. change of address, change policy holder details, banking details and attend to the customer request on a range of policy related issues.

Correspondence

Respond to routine requests using telephonic conversation or emails (internal and external).

Ensure regular feedback to services department and other stakeholders, as determined by the company and/or customer requirements to ensure customer receives appropriate feedback from the services department.

Document Management

Create, organise and maintain files containing the correspondence relating to policies and matters.

Document Preparation

Prepare and manage claim documentation for customers.

Personal Capability Building

Develop own capabilities by participating in assessment and development planning activities as well as formal and informal training and coaching. Develop and maintain an understanding of relevant technology, external regulation, and industry best practices through ongoing education, attending conferences, and reading specialist media.

Education

School Grade 12 (Required)

Experience

2 or more years claims administration and validation experience in a claims department within the short-term insurance industry (Essential); 1 or more years experience in a claims decision making role within a claims department within the short-term insurance industry (Advantageous); 1 or more years experience working with internal claims operating systems (Advantageous).

Think you have what it takes to be part of an unstoppable team who constantly finds better ways to give peace of mind? Don't wait, apply now.