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  • Posted: Oct 27, 2020
    Deadline: Not specified
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    Standard Bank Group is the largest African banking group by assets offering a full range of banking and related financial services. “Africa is our home, we drive her growth” Our vision is to be the leading financial services organisation in, for and across Africa, delivering exceptional client experiences and superior value. This sets the prim...
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    Funeral Claims Consultant ,Contract

    Job Purpose

    • To analyse, assess and pay valid funeral claims within 48 hours from the time the last document is received
    • To detect fraudulent activities on funeral claims
    • Understand SBBS’s goals and objectives and strive to achieve them
    • Maintaining an effective diary to ensure that overdue claims are given priority within stipulated timeframes thus enabling effective customer service delivery
    • Ensure favourable NPS score of  60% by consistently promoting quality interactions with customers

    Key Responsibilities/Accountabilities

    • Monitoring of personal performance relative to department productivity
    • To effectively assess claims ensuring that the daily target of 11 claims is met
    • Decide in perusing, analysing, understanding and questioning the assessment findings before sending the claim for authorization
    • Ability to think laterally in dealing with claims and engaging relevant parties to consult or debate circumstances of claims
    • Understand all policy wordings / Obligatory Disclosures as they apply to FuneralPlan products and can communicate the meaning thereof
    • Exercise vigilance when assessing claims and can determine whether the circumstances of a claim are suspicious and warrant referral to management or FROPS Operation Dept.
    • Have ability to professionally conduct death confirmations with Third parties on the validity of claims.
    • Have ability to interact with third parties (Internal and External) with Dept. of Home Affairs, SAPS, Funeral parlours, Doctors, Hospitals, ITC and XDS Check, Schools, Social Welfare, attorneys and Bank Branches.
    • Decide to escalate claims with Fraud Alert Messages, Red Listed Doctors and Funeral Parlours / Undertakers
    • Ensuring availability on the phones to handle inbound calls. To achieve 80% SLA

    Preferred Qualification and Experience

    • Grade 12
    • Must be FAIS compliant
    • Must have RE5
    • Must be computer literate
    • Insurance Institute or insurance qualification
    • Claims processing experience preferably in the Long-Term Insurance Category

    Knowledge/Technical Skills/Expertise

    • Must have a minimum 2 years’ experience in a claim’s environment

    Method of Application

    Interested and qualified? Go to Standard Bank Group on to apply

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