Claims Handler


Any Distance 5 km 10 km 20 km 30 km 40 km km + kmAny more Other Insurance Johannesburg claims handler Any Any Clear All Filters Similar Jobs1 Other Insurance jobs in Johannesburg on Job MailNo more jobs available matching your search.An exciting opportunity is available with one of our Clients for a Commercial Claims Handler to join their ClaimsDepartment.Duties and Responsibilities:Capturing of all new claim where applicable.One point of contact for the client/broker and adherence to first call resolution.Deliver exceptional client service that exceeds customers expectations through proactive, innovativeand appropriate claims handling.Ensures that customer claim is handled efficiently.Verifies FNOL data or documentation provided to ensure correct settlements of claimAttend to validation and first call actions on all claims within 1 working hour after registration.Achieve minimum targets were applicable.Maintain appropriate diaries and messages on the operating system.Client input and communication is an integral part at the start of the entire claims value chain, ensuringthat complete and accurate data/documentation is obtained and captured. This determines the directionof the claim to the entire claims value chain.Effectively maintains oversight of all relevant claims tasks and manages the claims handling process toachieve timely settlement and to minimise inaccuraciesIdentify, investigate and resolve any issues relating to claims being handled in line with claims policiesand procedures such as SLAs and TAT.Accurately check/determine whether appropriate cover is in place, interpret policy wordings andconditions to determine the validity of claims and advises the broker/policyholder accordingly.Identify potential non-disclosure and misrepresentation cases and follow Insurer's procedures to dealwith these situations.Identify any red flags on claims which are potentially fraudulent and follow Insurer procedures for dealingwith these.Identify when a specialist is needed to investigate a claim and follow Insurers policies and proceduresfor appointing these.Identify possible recovery and third-party claims and link the claim to the legal department uponregistration.Negotiates effectively within agreed mandate limits using an appropriate negotiation style.Be familiar with the Insurers estimate philosophy and apply accordingly.Adhere to guidelines for referral of claims to management (e.g. large losses)Selects and appoints external experts/vendors following Insurer's procedures and authority levels.Utilises preferred service suppliers when dispatching service to clients in line with BBEEE targets e.g.Spend direction tools.Assist with emergencies and afterhours process for outsourced business.Minimizes cash settlements vs utilization of preferred suppliers for settlement by managing thepercentage of cash versus quantum.Qualifications:Matric is an essential requirementFAIS Credits (as per FAIS requirement)Must be Fit & Proper in terms of the FAIS ActRegulatory Exam: RepresentativesMust not be debarred with FSBWork Experience:5+ years experience: Commercial lines claims experience across all commercial sections of thepolicy. Commercial experience will be an advantage.Full function claims administration (registration of claim, appoint assessors, read assessors report,make decision on claim up to payment of claim)Knowledge of Heavy Haulage Vehicles, Business Interruption, Personal Accident and stated benefits,Machinery Breakdown, Fidelity, SASRIA and Hospitality and Leisure risks a recommendation.Experience in the short-term insurance industryYou have successfully created your alert.You will receive an email when a new job matching your criteria is posted.Your account has not been verified. Please use the verification link sent via email.
Posted
05/05/2022
Location
Johannesburg, GT, ZA