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  • Posted: Nov 13, 2020
    Deadline: Nov 19, 2020
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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

    Introduction

    • The Claims Processing Consultant in Auto&General will contribute to the organisational goals by processing already-captured claims efficiently and accurately through drawing on the relevant criteria to ensure standardisation across the organisation to enable decision making on a claim.

    Specification

    • Use appropriate tools (ITC, supplier contract and/or negotiation) to accurately cost applicable claims on a day to day basis.
    • Make decisions according to established criteria to ensure standardisation across the organisation by accurately administrating and underwriting claims.
    • Remain up to date current and new product knowledge to enable effective decision making.
    • Ensure claims are finalised within the set parameters (turnaround time, terms and conditions applied accurately).
    • Ensure regular feedback to services department and other stakeholders, as determined by the company and/or customer requirements to ensure customer receives appropriate feedback from the services department.
    • Deliver the Telesure Service Way through personal effort and through others
    • Deliver on Treating Customers Fairly principles in alignment with regulatory requirements

    Education
    Requirements

    • Matric / Grade 12/ SAQA Accredited Equivalent*
    • Financial Sector Conduct Authority (FSCA) competency requirements**: FAIS recognized qualifications / Regulatory Examinations / Class of Business Certification and / or CPD according to your DOFA (where applicable)

    Desirable

    • Matric / Grade 12/ SAQA Accredited Equivalent* with University Entrance (NQF4)
    • Degree/Diploma related to Financial Industry

    Essential
    Experience:

    • 1 to 3 years Claims Experience
    • At least 2-3 years’ experience in a Customer Service environment

    Desirable

    • Claims Experience
    • Call Centre Experience
    • 1 to 3 years Claims experience

    Disclaimer

    • SAQA Accredited Equivalent - It is the onus of the applicant to provide TIH and its subsidiaries with certified evidence that their qualification(s) meet the equivalent NQF level required for this role at time of application.

    Method of Application

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