Accident and Health Claims Technician at Momentum Metropolitan Holdings Limited

Requirements

• Matric
• Computer Literacy (MS Word, Outlook, MS PowerPoint, and Excel)
• Experience with Insurance Systems
• A Minimum of 60 FAIS credits
• RE exams for representatives is mandatory
• At least 10 years of working experience
• At least 7 years of insurance working experience
• Intensive knowledge of Accident and Health insurance products and claim protocols
• Sound Knowledge and experience in handling serious illness/critical illness and death claims

Duties & Responsibilities

• Registering, Handling, and settling of Accident and Health claims in accordance with the Guardrisk applicable policies and standard operating procedures
• Managing and settling claims within required time frame as per SLA’s that are in place
• Effectively negotiating with claim assessors and other related service providers
• Always providing clients/ brokers with the highest standard of service
• Providing clients / brokers with regular feedback on the claim progress
• Ensuring diary system is always implemented and adhered to daily
• Rendering of assistance with adhoc duties, when required
• Updating reserves timeously and accurately
• Attending to payment requests within the Guardrisk SLA
• Managing outstanding claims volumes
• Timely responses to email and telephonic messages
• Accurate record keeping
• Proper time keeping and task prioritization
• Provide a supervisory function over a defined area within the claims department which shall include among others
• Providing technical advice to brokers when required 

Competencies

• Negotiation skills
• Organizational Skills
• Effective Communicational skills
• Attention to Detail
• Ability to work effectively under pressure
• Team player