Binder and Outsourced Claims Specialist
- Gauteng
- R300,000-360,000 per year
- Permanent
- Full-time
- Validation of claims in line with Company guidelines and Standard Operating Procedures
- Management of Large loss and complex claims
- Appointment of necessary providers
- Authorizations\Settlement of claims
- Rejection of claims
- Processing payments within the turn-around time
- Payment confirmations to Brokers and Suppliers
- Assisting clients and brokers over the phone / email with claims and queries
- Relationship Management with allocated brokers, including training of brokers with binder and outsource
- Complaints handling and resolution
- Liaising with Service Providers
- Liaising with brokers and clients
- Matric Certificate – essential
- Regulatory Exam
- Further Education and Training Certificate in Short-Term Insurance – NQF 4, and/ or a Higher Certificate in
- Must be compliant with FAIS Fit and Proper requirements with track-record of working unsupervised.
- Marine and Engineering knowledge – Highly advantageous
- Computer literate – Microsoft Word, Excel, and Outlook
- Experience in Commercial and Personal lines
- At least 5-years’ relevant work experience in claims validations and settlement (both in Motor and NonMotor claims, as well as in both Personal Lines and Commercial Lines classes of business)
- Work experience within a licensed insurer, or Underwriting Manager.
- Experienced in making claims settlement determinations with mandate exceeding R250 000.00
- Sound technical knowledge and understanding of relevant short term insurance policy wording
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