Personal Lines Claims Consultant


Employer/Recruiter: Indeed SA (8060)

Job Status: Active ✅

https://jobking.co.za/71528

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Employer/Recruiter: Indeed SA (8060)


🗏Job TypeFull Time

We have a position available for an experienced Personal Lines Claims Consultant - Short Term Insurance PURPOSE
To provide end to end claims services and exceptional customer service to our Personal Lines customers.

DUTIES / RESPONSIBILITIES

CLIENT SERVICES
 Ensure that clients are treated in a fair and reasonable manner at all times.
 All request or required responses to clients must be dealt with in 48 hours of receipt.
 Forward claims documents (i.e. claims forms) to client together with required supporting documentation within 24 hours of notification of claim.
 Update clients on progress of claim via email of 1) acknowledgement of receipt of claim 2) advise appointment of assessor 3) authorisation of repairs / or 4) in the instance of a cash payment the amount paid and anticipated date of payment.
 Keep client / AE informed at all times on progress of the claim.
 Act on complaints immediately and resolve within 24 hours.

ADMINISTRATION

 

 
 Ensure that there is cover for the actual claim.
 Register claim on CIMS.
 Check that premiums are paid up to date.
 Appoint assessor / Loss Adjustor within 2 hours of receipt of claim if all in order.
 Authorise repairs or settlement immediately following receipt of assessor / Loss Adjustors report.
 Claims over mandate and stolen vehicle claims to be send to insurer
 Rejections to be send to insurer
 Maintain a paperless environment throughout the claim process.
 Maintain notes on CIMS regularly.
 Diary to be used on all claims and to be pulled daily.
 Fast track claims to be settled within 24 hours.
 CAT claims to be recorded on CAT registers and followed through until settled.

NEGOTIATIONS
 Obtain quotes from service providers within 24 hours.
 Negotiate quotes / early settlement discounts with the service providers.
 Negotiate settlements / outstanding information with internal marketers.
 Negotiate settlement with Third Parties and Third Party Insurers in a fair and reasonable manner.

PAYMENTS
 Receive and check invoices form services providers.
 Complete payment requisitions immediately upon receipt and forward to Finance for uploading.
 Capture all payment information on CIMS and finalise where applicable.

SALVAGE & RECOVERY REGISTERS
 Follow up on outstanding salvage every 14 days.
 Record received funds on appropriate spreadsheets.
 Keep registers updated at all times.

RECOVERIES
 Send all documentation to recovery specialist immediately following authorisation or settlement.
 Follow up with final settlement figures to recovery specialist.
 Request a follow up form recovery specialist every 30 days.
 Keep client informed of progress at all times.
 Advise client of successful recovery.
 Refund excess to client within 24 hours of receipt of funds from recovery specialist.

GENERAL
 Manage your own outstanding portfolio.
 Build and maintain relationships with service providers and internal parties.
 Obtain a satisfactory score in applicable surveys used in the performance management process.
 Ensure that the appropriate knowledge of the claims manual is maintained.
 Actively participate as a team member and assist your team where necessary.
 Actively participate during workshops and other forums to formulate and design new initiatives.
 Ensure that the Fit-and-Proper FAIS requirement and other qualification as required are met as soon as possible and within the permitted timeframes.
 Deal with any unresolved issues on CIMS when problems arise.

LEARNING AND GROWTH
 Live the RBS way.
 Ensure continuous self-development.
 Share information and knowledge with team.
 Ensure own industry and product knowledge is kept up to date.

Requirements
MINUMUM QUALIFICATIONS AND SKILLS

Minimum 3 years’ Short-Term Personal Lines Claims experience at an Insurer or on a Binder facility
 FAIS Compliant
Matric.
Computer literate
Excellent written and verbal communication skills.

Apply Here http://bit.ly/2wtYUDS

Job id : , #71528, 33 views,


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