Claims Consultant : Business Insurance : Telesure Investment Holdings
Duties and Responsibilities
- Help manage customer by carrying out standard activities to complete the
customer request. - 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.
- Organize 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. - 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.
- 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.
Requirements
- Matric / Grade 12/ SAQA Accredited Equivalent (Essential);
- Regulatory exam 5 (Advantageous)
- 1-3 years Financial Services industry experience (Essential) STI experience and VAPS experience (Advantageous)
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