Claims Processing Consultant Business Insurance at Telesure Investment Holdings (TIH)

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