Claims Consultant at Hollard Insurance

Role Objectives

• Process all claims assigned, within the set standards required by the company thus contributing to the productivity of the division
• Enhance the image of the company through the continuous delivery of efficient and effective customer service.

Key Responsibilites

• Technical expertise: To evaluate and investigate all claims received in order to prevent possible leakage to the company in the settlement of claims.  Customer service: Maintain a high level of service to customers (internal and external) according to service level agreements and within the service standards as set by the company.
• Service to brokers: Over and above normal claims processing duties such as technical advice and other assistance
• Effective and timeous communication: Communicate in a professional manner with internal and external parties and respond to queries within 24 hours
• Registration: All claims received to be registered within 24 hours of receipt
• Fast track claims: All fast track claims to be processed and paid within 24 hours
• Premium checks:  Premium checks to be done
• Quantum: To establish as accurately as possible the estimate to be retained by the branch allow variance of 5%
• Investigation: All mails/communications to be actioned within 48 hours of receipt
• Compliance to policies and procedures: Ensure that documentations are in order before sending for payment
• Settlement: Claims finalised and cheque requisitioned within 24 hours of final correspondence
• Required Knowledge and Experience    
• Sound understanding of commercial short term insurance with at least 5 years’ claims experience including
• Claims procedures and knowledge
• Underwriting procedures and Risk management
• Reinsurance and treaties
• Product knowledge
• Financial knowledge
• Knowledge of insurance practices
• Sound understanding of the TCF principles
• Good writing and communication skills

Educational Requirements    

• Matric
• NQF 4 Insurance Qualification
• RE Advantageous