Jobs in

Policy Review Adviser - iLembe

Huntswood

Job Overview:The Policy Review Adviser will manage referrals received into the Policy Analysis Team from a variety of sources relating to misrepresentation, non-disclosure and potential indemnity concerns, within agreed authority levels and within agreed SLA.Job Responsibilities:Investigate all cases of potential misrepresentation and non-disclosure at policy inception and claims stage through to completion received via a variety of referral sources into CFS; working to agreed SLA’s and following the Policy Validation Guide and CFS Procedure documents Investigate the validity of FCIM’S customers claims history by carrying out post sale CUE (Claims Underwriting Exchange) match validation and processing any necessary changes to the policy.Investigate, through to a conclusion, policies where Quote Manipulation is suspected prior to the inception of the policyTo investigate and manage any potential voidance cases referring to Policy Analysis Level 2 or Senior for sign offContacting policyholders by phone and email, adhering to TCF and DPA principles, to resolve any discrepancies related to misrepresentation, non-disclosure or indemnity issues.To update and revise customers’ policy details making any necessary adjustments and cancellations.Make outbound calls to customers in relation to validation procedures/ queries whilst adhering to TCF and DPA principles.Administer and process incoming post and e-mail, including the scanning of relevant documents.Handle all complaints received effectively and efficiently adhering to FCIM Complaints policyManage the delegated mailboxes ensuring all correspondence is actioned with agreed SLA’s.Promptly identifying matches that do not require further investigation and ensure closure is actioned in a timely manner, within SLA’s.Maintain positive relationships with all business employees and departments comply with the requirements, and act in accordance with, the Group Code of Conduct and Fitness and Propriety policies at all timesEnsure compliance with Company Policies, Values and guidelines and other relevant standards/ regulations at all timesAny other reasonable dutiesJob Requirements:Minimum of a Matric/NQF 4 qualificationSolid insurance experienceWorking in a customer services environmentComplaint handling experienceStrong Microsoft Office experience with Word, Excel and Power - Point.High level Customer Service Skills Previous experience within the contact centre/insurance industry beneficialExperience Required:Previous experience in a complaint handling role, ideally with experience in early resolutionsExperience in handling fraudulent claims/misrepresentation at policy inception will be advantageousPrevious complaint handling experience within an FCA regulated business is ideal.Experience taking both outbound and inbound callsProviding the best resolution for the customerSkills Required:Good communication skills, both verbal and writtenGood time management and organisation skillsProblem solving skills with the ability to adopt a logical approach to resolving problemsGood data and statistical analysis skillsGood technical skillsIT and software skills, including good Microsoft Excel and Word knowledgePreferred Requirements/Skills:Experience/exposure to UK customers'/clientele.RE qualification FAIS creditsCore BehaviourHuntswood’s employees are described as dependable, driven and collaborative. The job holder should be able to demonstrate they are:Confidential, reliable and genuineDynamic, passionate and determinedFriendly, compassionate and cooperative"It's not just about what we do, but the way we do it. And it's our values that make us special." See Description See Description Apply Now
Share this job with someone you think should apply!
Facebook buttonFacebook   Whatsapp buttonWhatsapp

Want to do another search?

Jobs in