speaking Commercial & Personal lines Claims Consultant to join a busy, well established and expanding non-motor claims and assist clients with any general and claim-related queries. Capturing all new claims where innovative and appropriate claims handling Ensures that customers claims are handled efficiently Maintain is an integral part at the start of the entire claims value chain, ensuring that complete and accurate Must love Claims Claims Negotiator with at least 3 years Personal and Commercial Lines Claims experience
lines claims experience across all commercial sections of the policy.
- Full function claims administration
(registration of claim, appoint assessors, read assessors report, make
decision on claim up to payment
payment of claim)
- Knowledge of Heavy Haulage Vehicles, Business Interruption, Personal Accident and
but is not limited to):
- Evaluate claims forms and supporting documentation in preparation
Compare the reports to the existing claims criteria to establish if claim is payable
- Decide on levels
raised based on information received
- Writing claims assessment standards/policies
- Auditing/QA
Deliver claims payment decision
- Determine requirements / documents required to evaluate claims
-
with relevant re-insurers to determine validity of claims and get their approvals where required
- Explain
Fully Qualified Claims Consultant Required for - Personal / Domestic Insurance NQF 4 Short Term Insurance Administer complete claims process according to defined claims procedures until claims are settled Apply Mak assessment of claims validity and estimate value and administer mandated claims Act as intermediary Must to be considered Matric 2 - 3 years Domestic Claims exposure R 22 000 Inclusive of Benefits
financial services and the good it can do. Claims Consultant: The purpose of this role is responsible to philosophy, analyse claims and other data when assessing claims. Providing feedback on all claims, liaising with decisions on claims worked on. Assessment of income, disability and critical illness claims following policy policy terms and claims philosophy as well as facilitate case management programmes where applicable claimants in their return to work. Duties: Evaluate claims forms and supporting documentation in preparation
Permanent employees have the options of life cover, disability benefits, funeral cover, pension fund, medical of Conduct. Bestmed is an equal opportunity, disability-confident employer and we are committed to achieving high standards are maintained. Should you have a disability and require any additional support, please contact purpose of this position is to ensure that all claims are assessed using the appropriate rules and is error rate Production - Process the average paper claims Operational and Department targets Qualification
in the West Rand
to the ongoing enhancement and execution of the claims assessment methodology across Critical Illness Protection and Lump Sum Disability benefit lines. Approves or declines claim submissions without supervision Provide guidance and assistance to claims assessors and consultants. Guide team members with risk assessment the claims assessment methodology, including: Current best industry and company practices Claims research to ensure consistent application of these in the claims assessment environment. To partner and collaborate
A Claims Assessor role exists within the reinsurance space. Are you a qualified Physio, OT or Nurse with at least 5 years experience in Claims specifically in Disability, Death and Dreaded Disease? The team team deals with high value, complex claims and is family-oriented, hardworking and supportive. If you
My client is seeking to employ a PERSON WITH A DISABILITY FOR THIS ROLE To conduct allocated audits from