Job Title: Claims Consultant (Commercial and Personal Lines)
Company
seeking a skilled and experienced Claims Consultant to join their Claims Department.
Position
/>Position Overview: As a Claims Consultant specializing in both commercial and personal lines
responsible for efficiently and effectively managing claims from initial reporting to resolution. You will
third-party vendors to assess, process, and settle claims while ensuring compliance with company policies
IN BOTH GROUP AND INDIVIDUAL LIFE CLAIMS IS ESSENTIAL Evaluate claims forms and supporting documentation Compare the reorts to our exisitng claims criteria to establish if claim is payable Decide on levels of provisions Writing claims assessment standards/policies Auditing/QA of work done by peers Deliver claims payment required to evaluate claims Liase with relevant re-insurers to determine validity of claims and get their approvals Experience in both group and life individual life claims is essential Sound Business and Operational knowledge
IN BOTH GROUP AND INDIVIDUAL LIFE CLAIMS IS ESSENTIAL Evaluate claims forms and supporting documentation Compare the reorts to our exisitng claims criteria to establish if claim is payable Decide on levels of provisions Writing claims assessment standards/policies Auditing/QA of work done by peers Deliver claims payment required to evaluate claims Liase with relevant re-insurers to determine validity of claims and get their approvals Experience in both group and life individual life claims is essential Sound Business and Operational knowledge
monitor all claim related activities, which include the complete claim processing cycle of all claims, all claim claim related enquiries or complaints including Pension Fund Adjudicator and FSCA complaints / enquiries enquiries.
Afrikaans speaking Commercial & Personal lines Claims Consultant to join a busy, well established and and commercial motor and non-motor claims and assist clients with any general and claim-related queries queries. Capturing all new claims where applicable Deliver exceptional client service that exceeds customers' 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
Kindly apply if you meet the minimum requirements. Should you not hear back from us within 2 weeks consider your application as unsuccessful.
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
second hand), Repossessed, Commercial) Position: Claims Manager Location: Isando, Kempton Park Basic Salary: Experience 2-4 years previous experience within a claims administration position Proven minimum of 2 years appointment control sheet) Monitor and ensure that the admin process is adhered to by the Administrators as per
Responsibilities: