Claims Handler (X4)

• Capturing of all new claim where applicable.
• One point of contact for the client/broker and adherence to first call resolution.
• Deliver exceptional client service that exceeds customers' expectations through proactive,

• Ensures that customer claim is handled efficiently.
• Verifies FNOL data or documentation provided to ensure correct settlements of claim
• Attend to validation and first call actions on all claims within 1 working hour after registration.
• Achieve minimum targets were applicable.
• Maintain appropriate diaries and messages on the operating system.
• Client input and communication is an integral part at the start of the entire claims value chain,

• Effectively maintains oversight of all relevant claims tasks and manages the claims handling

• Identify, investigate and resolve any issues relating to claims being handled in line with claims

• Accurately check/determine whether appropriate cover is in place, interpret policy wordings

• Identify potential non-disclosure and misrepresentation cases and follow Insurer's procedures

• Identify any red flags on claims which are potentially fraudulent and follow Insurer procedures

• Identify when a specialist is needed to investigate a claim and follow Insurers policies and

• Identify possible recovery and third-party claims and link the claim to the legal department

• Negotiates effectively within agreed mandate limits using an appropriate negotiation style.
• Be familiar with the Insurers estimate philosophy and apply accordingly.
• Adhere to Brolink' s guidelines for referral of claims to management (e.g., large losses)
• Selects and appoints external experts/vendors following Insurer's procedures and authority

• Utilises preferred service suppliers when dispatching service to clients in line with BBEEE

• Assist with emergencies and afterhours process for outsourced business.

• Minimizes cash settlements vs utilization of preferred suppliers for settlement by managing the

• Demonstrates an effective communication style, that motivates, across internal and external

• Salvage collection and management of timelines on salvage claims
• Meeting of set deadlines.
• Validate claims accordingly within the department structure.
• Deliver strategic results in term of the Brolink Vision and Mission.
• Attendance of weekly team meetings, participation on one-on-one discussion and other

• Align own behaviour with the organisation culture and values.
• Demonstrate commitment toward the team and participate in building team culture.
• Collaborate and work closely with all role players thereby leveraging constructive team

• Identify and recommend areas/ways to improve processes.
• Proactively ensure the most effective use of time, resources, money, materials or equipment in

• Comply with corporate governance policies, procedures and standards.
• Proactively suggest improvements in customer services where applicable.
• Building relationships with all stakeholders, including brokers and service providers, to best

• Manage own development to increase own competencies.
• Adhere to the company policies and procedures and contracted performance agreement.

• Matric is an essential requirement
• FAIS Credits (as per FAIS requirement)
• Must be Fit & Proper in terms of the FAIS Act
• Regulatory Exam: Representatives
• Must not be debarred with FSB

• Full function claims administration (registration of claim, appoint assessors, read assessors

• Experience in the financial services industry or short-term insurance industry

Job Mail