Claims Consultant: Commercial Lines

  • Cape Town, Western Cape
  • Permanent
  • Full-time
  • 9 days ago
To provide stakeholders (e.g. clients, account executives) with efficient claims advice and administration according to the required standards and procedures in support of the business strategy.Job Specification:Financial
· Ensure appropriate minimisation of claims and claims expenses
· Ensure and contribute to minimisation of general expensesClient
· 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 targetBusiness Processes:· Adhere to company quality standards and broader regulatory frameworks wrt the following processes (but not limited to):
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
· 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 activitiesRequirements:FAIS Compliant
A minimum of 3 years Commercial Claims experience
Excellent communication skills
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