Claims Consultant

Company Telesure Group Services (Pty) Ltd
Reference # CCN100118
Published 10/01/2018
Contract Type Permanent
Salary Market Related
Location Fourways, Gauteng, South Africa
The Claims Consultant contributes to the organisational goals by capturing, validating and administering claims to ensure efficient and accurate claims processing and costing, while delivering excellent service to the customer
Job Functions Call Centre
Industries Insurance
•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 (MyMarket, 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 with 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. Assessing, In-Touch, 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 the Telesure Service Way through personal effort and through others.
•Deliver on Treating Customers Fairly principles in alignment with regulatory requirements
Level of Education:
•Essential: Grade 12 (Standard 10)
•FAIS Accreditation

•1-3 years Financial / insurance / call-centre experience
• Claims experience is desirable
Knowledge of:
•Insurance Industry
•Customer service
•Internet (google, search engines etc.)
•Systems (Capturing and storing information, database orientated etc.) (desirable)
•MS Windows and Microsoft Office (Excel, Outlook, Word etc.)
•Vehicle and Motor industry (What happens when you brake on a wet road)
Job Closing Date 19/01/2018
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