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South Africa

Claims Processing Consultant (Afrikaans)

Company TIH
Reference # AG11/11/20/3
Published 18/11/2020
Contract Type Permanent/Contract
Location Cape Town, Western Cape, South Africa
Introduction
Obtain information from insured or designated persons for the purpose of
validating claims using all resources available.
Job Functions Client Services
Industries Insurance
Specification
RESPONSIBILITIES

Customer Management

-Help manage customer by carrying out standard activities to complete the
customer request.
-Building and maintaining relationships with dependencies (for example; Loss
Adjusting, Towing etc) to help assist with customer's communication.

Data Collection & Analysis

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

Work Scheduling and operational compliance

-Organize own work schedule in order to get the job done, coordinating with
support services and completed work within TAT.

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.

Correspondence

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

Document Management

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

Document Preparation

-Prepare and manage claim documentation for customers.

Up-sell Customer Propositions

-Identify a selection of products or services that may meet the customer's
requirements, explain the product/service features influence the customer to add
additional cover.
Requirements
TECHNICAL COMPETENCIES

Verbal and Written Communication

-Use clear and effective verbal and written communications skills and provide
technical guidance when required to express ideas, request actions and
formulate plans or policies.

Numerical Skills

-Use an understanding of numerical concepts to perform mathematical
operations such as report analysis and provide technical guidance when
required.

Computer skills

-Support business processes by understanding and effectively using standard
office equipment and standard software packages.
-Basic computer skills.; Microsoft Office Basic..

Planning and Organizing

-Plan, organize, prioritize and oversee activities to efficiently meet business
objectives.

Policy and procedures

-Interpret and understand policies and procedures, while making sure they match
organizational strategies and objectives.
-Knowledge of general STI industry policy and procedures.

Action Planning

-Develop appropriate plans or perform necessary actions based on
recommendations and requirements.

Data Collection and analysis

-Analyze and validate data to critically evaluate information to ensure accuracy of
content.

Internet browser knowledge

-Apply concepts of knowledge / skill to search internet browsers.

EDUCATION

General Education:
Matric / Grade 12/ SAQA Accredited Equivalent (Essential);
Regulatory exam 5 (Essential)

EXPERIENCE

General Experience:
1 to 3 years Financial Services industry experience (Essential); STI experience
(Advantageous)

TASKS

-Prepare insurance claim forms or related documents and review them for
completeness.
-Enter claims information into database systems.
-Pay small claims.
-Calculate amount of claim.
-Post or attach information to claim file.
-Transmit claims for further investigation.
-Contact insured or other involved persons to obtain missing information.
-Review insurance policy to determine coverage.
-Organize or work with detailed office records, using computers to enter, access,
search or retrieve data.
-Provide customer service, such as limited instructions on proceeding with claims
or referrals to auto repair facilities or local contractors.

ADDITIONAL INFORMATION
-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. 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 verified.
Job Closing Date 25/11/2020
   
   
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Last Updated: 30-7-2020 [20.07.03.04]
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