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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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