Claims Consultant: Business Insurance: JHB at Telesure Investment Holdings (TIH)

JOB PURPOSE

Obtain information from insured or designated persons for the purpose of validating claims using all resources available.

Requirements

RESPONSIBILITIES

• Client & Customer Management (External)
• Help manage clients by carrying out standard activities and providing support to others.
• Data Collection and Analysis
• Produce accurate reports for others by collecting data from a variety of standard sources and inputting it into standard formats.
• Work Scheduling and Allocation
• Organise own work schedule in order to get the job done, coordinating with support services and assigning short-term tasks to others if necessary.
• Administration
• Produce, update and provide best practice support on MS documents, databases and other departmental systems to support the work of more senior colleagues. Tasks could include purchasing materials, entering budgetary information, time and expense recording and similar.
• Correspondence
• Respond to routine requests using form letters or emails and to more unusual requests by editing templates to create customised responses.
• Document Management
• Create, organise, and maintain files containing the correspondence and records of a senior colleague.
• Document Preparation
• Prepare routine letters, memoranda, reports and similar documents following detailed instruction. This is likely to involve using the full range of functions within standard office software.

TASKS

• Prepare insurance claim forms or related documents and review them for completeness.
• Enter claims information into database systems.
• Validation of high quantum claims (Motor and Non-Motor)
• Calculate amount of claim.
• Post or attach information to claim file.
• Transmit claims for further investigation.
• Contact insured or other involved persons to obtain missing information.
• Review insurance policy to determine coverage.
• Organize or work with detailed office records, using computers to enter, access, search or retrieve data.
• Provide customer service, such as limited instructions on proceeding with claims or referrals to auto repair facilities or local contractors.

EDUCATION

• Matric / Grade 12/ SAQA Accredited Equivalent
• Regulatory exam 5 (Essential)

EXPERIENCE

• 1-3 years Financial Services industry experience (Essential)
• Commercial/Business Insurance and STI insurance experience (Advantageous)