Standard Bank Claims Consultant - Motor and Non-Motor - SIL - Liberty Claims - Jobs in South Africa
Standard Bank Claims Consultant - Motor and Non-Motor - SIL - Liberty Claims - Jobs in South Africa
Job Purpose To effectively and timeously deal with all claims, ensure that all received correspondence is actioned, estimates are revised accordingly, payments are effected, recovers effected and the customers are proactively and consistently kept informed. Maintaining and effective diary system to ensure that matters are attended to within agreed or stipulated timeframes, thus enabling effective customer service delivery. With little direct supervision, liaise and interact with customers and other shareholders.
Key Responsibilities/Accountabilities
Proactively and consistently keeping the customer informed about progress of a pending claim and restatement of claims procedure
Consistent follow ups with the service providers within stipulated timeframes and maintaining and effective diary system
Ensuring that all servicing calls are taken and the abandonment rate is maintained within the prescribed limits
Ensuring that all claims within the designed portfolio are effectively and timeously processed within the stipulated turn around times
Ensure a through understanding of the circumstances of the technical claim and assessment findings before making a determination on whether a reported incident is an insured event falling within the ambit of the policy or not
Assertively and persuasively rejecting claimed incidents falling outside the confines of the policy
Generating written easily comprehensible formal rejections which is technically sound and factual that is sent to the customers
Appointment of a further service provider or specialist, if deemed necessary
Adjusting the claims estimates to reflect the potential liability in line with recommendation of service providers or repair quotation
Authorising of all repairs falling within the set mandate
Generate a weekly report of all claims whose quantum actual or estimated, exceeds R200 000.00
Preparing relevant authorisation forms for all claims that exceeds the mandate limits and
ensuring that authorisation is expeditiously done
Bringing to the immediate attention of management any contentious or borderline claims
Making accurate payments based on appropriate supporting documentation, such as repair invoices, duly signed agreements of loss, etc falling within authorised mandate
Accuracy and detail of the information captured on the event log notes and other pertinent system updates
Ensuring than the customer is provided with all the necessary information if unsatisfied with the rejection, including, inter alia, engaging own specialist service to prove to the contrary, provision of General condition 8 (Dispute or rejection) e.g. management review process), etc
Ensuring the claims history is properly checked so as to highlight any relevant risk management action such as enlisting the services of internal forensics division, if deemed appropriate, or recommending policy endorsements
Referring any queries or requests or contentious matters to the relevant division(s) especially policy and servicing management immediately
Ensuring that any breaches of the service level agreement by panel contractors (service delivery, lack of professionalism, workmanship, etc) are all referred to the relevant department
Preferred Qualification and Experience
Education
Matric (essential)
Insurance related qualifications would be an advantage
Experience
3-5 years insurance experience within Motor & Non motor Claims
Knowledge/Technical Skills/Expertise
Claims Knowledge
Knowledge and understanding of how claims are managed.
Insurance Principles
Understanding of the basic principles of insurance including good faith, insurable interest, indemnity, contribution, subrogation and proximate cause.
Insurance Products and Services
Knowledge and understanding of the range of insurance products and services available in the market and how that can be used to meet client’s needs.
Professional and effective verbal and written communication
How to Apply
For more information and job application details, see; Standard Bank Claims Consultant - Motor and Non-Motor - SIL - Liberty Claims - Jobs in South Africa
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