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  • Posted: Dec 17, 2021
    Deadline: Not specified
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    Telesure Investment Holdings (Pty) Ltd (TIH) is the holding company of some of South Africas leading and innovative financial institutions. These financial institutions are licensed to provide financial products and/or services ranging from short-term, long-term and health insurance as well as a comparison and investment platforms. Our origins go back to ...
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    Claims Processing Consultant Business Insurance

    Specification    
    Client & Customer Management

    • 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

    • Organize 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 customized responses.

    Document Management

    • Create, organize 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.

    Policy and procedures

    • Works with guidance (but not constant supervision) to develop, monitor, interpret and understand policies and procedures, while making sure they match organizational strategies and objectives.
    • Knowledge of general STI industry policy and procedures

    Action Planning

    • Works with guidance (but not constant supervision) to develop appropriate plans or perform necessary actions based on recommendations and requirements.

    Data Collection and Analysis

    • Works under guidance (but not constant supervision) to analyze data trends for use in reports to help guide decision making.

    Internet Browser Knowledge

    • Works with full competence to use a range of Internet browsers to access data.
    • Typically works without supervision and may provide technical guidance.

    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.

    Requirements    
    General Education

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

    (Essential)

    General Experience

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

    Job Closing Date    29/12/2021

    Method of Application

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