Personal Lines Claims Consultant IAS

Company Risk Benefit Solutions
Reference # PL Claims Consultant IAS
Published 03/11/2017
Salary Market Related
Location Cape Town, Western Cape, South Africa
With over two decades worth of weight behind our name, we harness our power as a true broker to provide clients with access to every insurer and underwriting manager possible, both locally and abroad.
Job Functions Administration,Client Services,Data Management
Industries Admin, Office & Support,Banking / Finance & Investment,Financial Services,Insurance
ROLE PURPOSE: To provide superior claims service to ensure the retention and the growth in our customer base, and the building excellent relationships with service providers, thereby contributing to the bottom line results of RBS IAS and RBS.

Ensure that clients are treated in a fair and reasonable manner at all times.
All request or required responses to clients must be dealt with in 48 hours of receipt.
Forward claims documents (i.e. claims forms) to client together with required supporting documentation within 24 hours of notification of claim.
Update clients on progress of claim via email of 1) acknowledgement of receipt of claim 2) advise appointment of assessor 3) authorisation of repairs / or 4) in the instance of a cash payment the amount paid and anticipated date of payment.
Keep client / AE informed at all times on progress of the claim.
Act on complaints immediately and resolve within 24 hours.

Ensure that there is cover for the actual claim.
Register claim on CIMS.
Check that premiums are paid up to date.
Appoint assessor / Loss Adjustor within 2 hours of receipt of claim if all in order.
Authorise repairs or settlement immediately following receipt of assessor / Loss Adjustors report.
Claims over mandate forward to Hollard for authorisation.
All staff claims to be forwarded and authorised by Hollard only.
Stolen vehicles – Hollard Data Entry input form to be completed immediately and forwarded to Hollard
All rejections to be forwarded to Hollard.
Maintain a paperless environment throughout the claim process.
Maintain notes on CIMS regularly.
Diary to be used on all claims and to be pulled daily.
Fast track to be settled within 24 hours.
CAT claims to be recorded on CAT registers and followed through until settled.

Obtain quotes from service providers within 24 hours.
Negotiate quotes / early settlement discounts with the service providers.
Negotiate settlements / outstanding information with internal marketers.
Negotiate settlement with Third Parties and Third Party Insurers in a fair and reasonable manner.

Receive and check invoices form services providers.
Complete payment requisitions immediately upon receipt and forward to Finance for uploading.
Capture all payment information on CIMS and finalise where applicable.

Follow up on outstanding salvage every 14 days.
Record received funds on appropriate spreadsheets.
Keep registers updated at all times.

Send all documentation to recovery specialist immediately following authorisation or settlement.
Follow up with final settlement figures to recovery specialist.
Request a follow up form recovery specialist every 30 days.
Keep client informed of progress at all times.
Advise client of successful recovery.
Refund excess to client within 24 hours of receipt of funds from recovery specialist.

Manage your own outstanding portfolio.
Build and maintain relationships with service providers and internal parties.
Obtain a satisfactory score in applicable surveys used in the performance management process.
Ensure that the appropriate knowledge of the claims manual is maintained.
Actively participate as a team member and assist your team where necessary.
Actively participate during workshops and other forums to formulate and design new initiatives.
Ensure that the Fit-and-Proper FAIS requirement and other qualification as required are met as soon as possible and within the permitted timeframes.
Deal with any unresolved issues on CIMS when problems arise.

Live the RBS way.
Ensure continuous self-development.
Share information and knowledge with team.
Ensure own industry and product knowledge is kept up to date.


Minimum 3 years’ Short-Term Personal Lines Claims experience at an Insurer
FAIS Compliant (Insurance Credit & Qualification, DOFA will be required).
Computer literate (Windows / Microsoft Office).
Excellent written and verbal communication skills.
Job Closing Date 30/11/2017
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