Commercial Claims Consultant

Short Term Insurance
Provide stakeholders with effective and efficient commercial claims services according to the required standards and procedures in order to retain existing clients and secure new business in support of the business strategy.
• Ensure appropriate minimisation of claims and claims expenses
• Ensure and contribute to minimisation of general expenses
• Ensure that all stakeholder (e.g. clients, AE’s, insurers) communication is accurate, timeous, professional and relevant
• Build and maintain mutually beneficial relationships with internal (e.g. account executives) and external (e.g. clients) stakeholders
• Keep client informed regarding to progression of the claim
• Ensure and contribute to achieving the required client satisfaction targets
• Adhere to company quality standards and broader regulatory frameworks wrt the following processes (but not limited to):
o Claims Administration
? Receive claims notification, and send and obtain any relevant forms or documents as may be required
? Process and ensure all claims and recoveries are processed within the required parameters
? Appoint assessor or loss adjustor
? Apply policy terms and conditions

? Keep internal system and records up to date at all times
? Keep relevant internal stakeholders up to date on the progress of registered claims
? Make assessment of claims validity and estimate value and administer mandated claims
? Forward claims in excess of mandate to insurer
? Obtain quotes for products and/or services
? Follow and ensure adherence to claims settlement processes
? Act as intermediary between insurer and client and timeously relay communication, requests and documentation

• Assist with management reports
• Follow the recoveries process, diarise follow-ups and keep clients informed
• Follow and ensure adherence to underwriting processes for cancellations
• Ensure productivity targets are met
• Contribute towards and ensure continuous improvement in own and team performance
• Adhere to company mandates
• Participate and contribute in ad hoc projects
• Report any suspected fraud, misrepresentation and/or dishonesty
• Keep accurate record of own activities
• Matric or equivalent
• RE5
• FAIS Compliant (credits and/or full qualification)
• Computer Literate
• Excellent communication skills
• 3 years’ experience as a Commercial Claims consultant at an insurer or on a binder facility
Remuneration - Market related


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Job id : , #69754, 9 views,

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