Claims Processing Consultant at Telesure Investment Holdings (TIH)

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.