Claims Service Consultant: SHA - Johannesburg at Santam Insurance

Key Performance Areas:

• Reviewing and analysing the following, and where necessary, make recommendations:
• Extension applications
• Valuation exemption applications
• Statutory actuarial valuation reports
• Surplus applications
• Stakeholder complaints
• 15E, 15J and 15K applications
• Providing support to other Departments within the FSCA, in particular the Pensions Division
• Involvement in ad hoc projects

What will make you successful in this role?

Claims Portfolio

• Assist the Claims Specialist regarding all aspects related to a portfolio of Claims. This includes the following: new claims registration, current file diary management, certain correspondence like updates to brokers, attending to basic enquiries on claims, payment requests and general administrative functions. 
• Draft settlement agreements in accordance with the instruction.
• Appoint assessor/investigator on instruction of the Claims Specialist.
• Monitor service levels in accordance with agreed service level agreements.
• Monitor assessors and refer concerns to management within the framework of agreed internal protocol.
• Attend to Operational duties as allocated 
• Comply with internal and external regulatory framework and internal and external processes and procedures in accordance with organisational standards

Analysis

• Critically assess information supplied to determine if all relevant information has been received.

System processing

• Attend to all aspects of system processing relevant to a portfolio of claims e.g. registration of new claims, updating of reserves, payments etc.

Client Liaison (Internal and External)

• Respond to queries and resolve to the satisfaction of the affected parties within the scope of authority and / or responsibility.

General Administration

• Attend to daily administrative routine tasks in accordance with organisational standards, processes and procedures.
• Attend to the typing of general correspondence if and when necessary.

Qualification and Experience

• Matric
• Proven Administrative Skills