Standard Bank Group Funeral Claims Consultant ,Contract Jobs in South Africa
Standard Bank Group Funeral Claims Consultant ,Contract Jobs in South Africa
Job PurposeTo analyse, assess and pay valid funeral claims within 48 hours from the time the last document is received
To detect fraudulent activities on funeral claims
Understand SBBS’s goals and objectives and strive to achieve them
Maintaining an effective diary to ensure that overdue claims are given priority within stipulated timeframes thus enabling effective customer service delivery
Ensure favourable NPS score of 60% by consistently promoting quality interactions with customers
Key Responsibilities/Accountabilities
Monitoring of personal performance relative to department productivity
To effectively assess claims ensuring that the daily target of 11 claims is met
Decide in perusing, analysing, understanding and questioning the assessment findings before sending the claim for authorization
Ability to think laterally in dealing with claims and engaging relevant parties to consult or debate circumstances of claims
Understand all policy wordings / Obligatory Disclosures as they apply to FuneralPlan products and can communicate the meaning thereof
Exercise vigilance when assessing claims and can determine whether the circumstances of a claim are suspicious and warrant referral to management or FROPS Operation Dept.
Have ability to professionally conduct death confirmations with Third parties on the validity of claims.
Have ability to interact with third parties (Internal and External) with Dept. of Home Affairs, SAPS, Funeral parlours, Doctors, Hospitals, ITC and XDS Check, Schools, Social Welfare, attorneys and Bank Branches.
Decide to escalate claims with Fraud Alert Messages, Red Listed Doctors and Funeral Parlours / Undertakers
Ensuring availability on the phones to handle inbound calls. To achieve 80% SLA
Preferred Qualification and Experience
Grade 12
Must be FAIS compliant
Must have RE5
Must be computer literate
Insurance Institute or insurance qualification
Claims processing experience preferably in the Long-Term Insurance Category
Knowledge/Technical Skills/Expertise
Must have a minimum 2 years’ experience in a claim’s environment
How to Apply
For more information and job application details, see; Standard Bank Group Funeral Claims Consultant ,Contract Jobs in South Africa
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