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  • Posted: May 12, 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 ...
    Read more about this company

     

    Commercial Claims Consultant: Processing

    Job Purpose

    • Process 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.

    Customer Management (Internal)

    • Help manage customer by carrying out standard activities to complete the customer request.

    Data Collection & Analysis

    • Ask questions, collect data from a variety of sources, analyse information and investigate claim.
    • Make decisions according to established criteria to ensure standardisation across the organisation by accurately administrating and underwriting claims.
    • Use appropriate tools (ITC, supplier contract and/or negotiation) to accurately cost applicable claims on a day to day basis.

    Work Scheduling and operational compliance

    • Organize own work schedule in order to get the job done, coordinating with support services and completed work within SLA.
    • Ensure claims are finalised within the set parameters (turnaround time, terms and conditions applied accurately).
    • Remain up to date current and new product knowledge to enable effective decision making.

    Requirements    

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

    General Experience

    • 1-3 years Financial Services industry experience (Essential) STI experience and
    • VAPS experience (Advantageous)

    Job Closing Date    

    • 24/05/2021

    Method of Application

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