Claims Assessor at Bidvest Insurance

Position Overview

The claims assessor will be responsible for gathering information required for accurate assessment and determining the correct outcome on the claim. This will be done by Investigating, evaluating and settlement of claims under motor policies. 

Key Responsibilities and Duties

•  Responsible for capturing claims correctly and accurately.
•  Confirm that the claim information is correct and the claim is valid.
•  Check the status of the policy & receipt of premium (current and up to date), to facilitate claim processing.
•  Responsible for ensuring that all the required supporting documentation is obtained and attached to the claims administration system to comprehensively assess the claim.
•  Determine and record additional required information.
•  Adhere to internal SLA's to ensure operational efficiency and achievement of agreed labor rates and customer service standards. Responsible for the administration relating to claims processing.
•  Responsible for managing queries raised by policy holders, business partners and internal stakeholders relating to claims.
•  Correspondence to clients with respect to claims outcomes
•  Responsible for assessing and authorizing claims as per the policy requirements documented in the policy
• wording.
•  Assist with Ombudsman cases and collaborate with other stakeholders during the Complaints process.
•  Responsible for updating the claims administration system with relevant information, estimates and maintaining diaries for outstanding information throughout the assessment process.
•  Responsible to effectively manage emails, and other correspondence received to facilitate effective claims processing.
•  Responsible for achieving daily performance targets.

Customer Service

•  Responsible for providing excellent service to agreed service level agreements (SLA) to policy holders and businessn partners in respect of Claims.
•  Responsible for providing supportive input to Customer Experience with regards to customer complaints.
•  Liaise with policy holders regarding the status/outcome of their claim and keep them informed.
•  Responsible managing all telephonic queries in a professional and efficient manner.
•  Responsible for ensuring that the principles of TCF are incorporated into the assessment process/decision.

Qualifications

•  Matric.
•  FAIS accreditation would be an advantage.
•  Microsoft Office skills, i.e. Outlook, Excel and Word would be an advantage.
•  Satisfactory communication skills (verbal & written)
•  Qualified as a Motor Technician, Trade test is essential.
•  Approximately 3 to 5 years related work experience as a qualified motor technician / Motor assessor within short term insurance industry.

Knowledge and skills

•  Able to work unsupervised and to take initiative.
•  Conflict handling
•  Delivering Results and Meeting Customer Expectations
•  Exposure to working within a high performance working environment.
•  Achieving Personal Work Goals