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South Africa

Claims Processing Consultant

Company Telesure Investment Holdings
Reference # 07/02/2020
Published 10/02/2020
Contract Type Permanent
Salary Market Related
Location Fourways, Gauteng, South Africa
Introduction
The Claims Processing Consultant in Auto&General will contribute to the organisational goals by processing 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.
Job Functions Call Centre,Client Services
Industries Insurance
Specification
Use appropriate tools (ITC, supplier contract and/or negotiation) to accurately cost applicable claims on a day to day basis.
Make decisions according to established criteria to ensure standardisation across the organisation by accurately administrating and underwriting claims.
Remain up to date current and new product knowledge to enable effective decision making.
Ensure claims are finalised within the set parameters (turnaround time, terms and conditions applied accurately).
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.
Deliver the Telesure Service Way through personal effort and through others
Deliver on Treating Customers Fairly principles in alignment with regulatory requirements
Requirements
Education:
Matric / Grade 12/ SAQA Accredited Equivalent*
Financial Sector Conduct Authority (FSCA) competency requirements**: FAIS recognized qualifications / Regulatory Examinations / Class of Business Certification and / or CPD according to your DOFA (where applicable)

Desirable:
Matric / Grade 12/ SAQA Accredited Equivalent* with University Entrance (NQF4)
Degree/Diploma related to Financial Industry*

Experience:

Essential:
1 to 3 years Claims Experience
At least 2-3 years’ experience in a Customer Service environment

Desirable:
Claims Experience
Call Centre Experience
1 to 3 years Claims experience

Disclaimer:
*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 recognized 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 verifi
Job Closing Date 17/02/2020
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Last Updated: 6 days ago [20.02.01.00]
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