Claims Auditor - Sandton at Guardrisk

Role Purpose

• Audit and monitor all Aggregates claims, internal motor and non-motor claims as per audit programme. 

Requirements

• Matric
• FAIS compliant
• An insurance/ relevant qualification
• At least 5-10 years relevant working experience, with some supervisory functions
• An exceptional eye for detail
• An ability to work accurately under pressure
• A comprehensive understanding of multiple short- term insurance
• A comprehensive understanding of standard and non-standard insurance facilities, with specific focus on aggregates and related facilities, internal motor claims and non-motor claims
• Sound knowledge of Commercial and Corporate type claims

Duties & Responsibilities

• Audit and monitor all functions in terms if agreements including monthly reports
• Service Providers
• Analyse audit reports and follow up on that audit findings are actioned promptly, and all issues closed
• Ensure that on new accounts, there is proper communication and alignment of brokers’ responsibilities with all impacted stakeholders- i.e. tracking, reporting and procedures
• Ensure mandate is set and adhered to by the party to whom responsibilities are delegated
• Identify, track and remedy claims leakage at the respective delegated parties
• Assist with General Financial Functions within the claims team
• Assessing accuracy and quality of usage of the claims system
• Recommending enhancements to the system
• Assessing on an ongoing basis process efficiencies in the claims space and recommending solutions to the management team where deficiencies are detected
• Conducting random portfolio reviews across the products to assess capacity and competency
• Implementing generally accepted audit methodology within the quality assurance program

Competencies

• Business Acumen
• Customer Focus Relationships
• Attention to detail
• Analysis & Judgement
• Practical Leadership
• Stress Handling
• Rule Orientation
• Sound organizational, planning and communication skills