Your verbal and written communication, in English and Afrikaans, at all levels as well as:

Formal Education:

Matric
Relevant NQF 5
Successfully completed the RE 5 Examination Level 1

Experience:

A minimum of three (3) years´ Claims experience
A minimum of five (5) years´ working experience within Insurance industry

will enable you to do the following duties:

Effectively maintain claims standards and provide quality client service:

Register motor / non motor claims for personal and commercial policies
Appoint assessors
Confirm and make sure that cover is sufficient
Responsible for handling of and settling of claims for clients allocated and ensuring accurate capturing and updating on all data systems
Manage the claim from start through to settlement stage
Gathering information about the insurance claim from the client and any others involved
Examining the details on completed forms and checking these against the cover provided by the insurance policy
Consulting with other staff to decide the outcome of the claim and any compensation to be paid
Informing the client of the outcome of the claim in writing
Referring large or complex claims to other professionals such as a loss adjuster
Determine merits based on facts and investigation of reports presented
Settle claims within set parameters to avoid leakage
Obtain all information required for settlement or rejection of claims
Do continuous adjustments of reserves
Arrange / deal with the fulfilment of the following:
- Car hire for insured in the event of an accident where vehicle not drivable or of car has been stolen
Arrange contractors to assist insured with obtaining critical documents to support claim
Manage salvage process
motor & non-motor salvage right through to recovery payment received
Follow up with loss adjustors/assessors periodically/ daily if required
Ability to negotiate claims with clients, service providers and Insurance market
Keep detailed, dated file notes of all discussions on the claim files
Ability to negotiate contentious claim with Insurance market and clients
Potential errors and omissions must be immediately referred to Claims Manager
Responsible for completion of claim files upon finalisation of claim and do filing to EDS
Ensure that claims files are maintained in accordance with operational standard and company procedures
Daily system updates (Such as diary & daily mail)
Detail Prompt feedback and handling of complaints (internal & external)
Ensure resolution of queries and complaints speedily
To submit and provide insurer feedback & reports as per agreed timelines
Ensure a pleasant claims experience
Facilitate and maintain sound working relationships with clients, colleagues, markets, and service providers, including but not limited to local markets
Ensure policy maintenance after a claim is completed
Update underwriting of items to be deleted/replaced
Maintain records of all reports submitted to clients.

Service delivery to ensure customer satisfaction:

Maintain service, quality and desired outputs within a specific functional process through ensuring compliance to tactical policies, procedures and standards
Resolve escalated customer queries and complaints and provide feedback to customers on matters resolved
Develop work routines in line with operational plans / schedules in order to manage achievement of service
Delivery goals
Share knowledge on, and participate in the creation of new standards, control systems and procedures to maintain service delivery.

Maintain effective people practices:

Align own behaviour with the organization culture and values
Share and transfer product, process and systems knowledge to colleagues
Collaborate and work with the Claims team to ensure required service levels are delivered.

Continuous improvement to ensure effective service: