Insurance Claims Administrator - Maternity Cover (Finchoice) at Weaver Fintech Ltd

Purpose of the role

• The ideal candidate for this role will be responsible for resolving customers insurance queries telephonically and through the electronic query resolution system, capturing and processing insurance related claims and handling of complaints. You will need to continuously provide an exceptional customer experience with a view to retain existing business

Key Performance Areas

Provide an exceptional customer experience

• Appropriately manage all customer queries
• Ensure a polite, friendly, efficient and professional service is provided at all times
• Take responsibility for all calls (emails) by ensuring that advice is always given in the customer’s best interests by enhancing customer delight
• Handle objections appropriately to ensure that positive results are achieved
• Effectively deal with difficult queries and customers, avoiding formal complaints
• Improve the customer experience and service delivery by providing excellent customer service

Resolve customer queries/claims and complaints effectively and efficiently

• Attend to logged customer queries in line with query resolution principles established by the company
• Contact customers in order to gain information, provide feedback and follow through on resolving and tracking their queries
• Make contact with internal departments and external parties in order to gain further information or seek solution to customer queries
• Report issues and variances that affect customer queries to management and other departments, ensuring that unresolved queries are escalated appropriately
• Improve the customer experience and service delivery by providing excellent verbal and written customer service

Meet operational efficiencies

• Ensure compliance standards and legislative requirements are adhered to and met against agreed quality benchmarks with regards to FAIS, FICA, TCF and POPIA
• Meet acceptable query type production levels and query resolution ratios
• Consistently reach performance targets and standards relating to productivity, adherence, turnaround time and quality
• Always ensure that any outstanding tasks are up to date
• Adhere and meet all service level agreements targets
• Constantly and proactively communicate ways to improve efficiencies in our performance, procedures and systems
• Ensure compliance standards and legislative requirements are adhered to and met against agreed quality benchmarks

Adhere to quality standards 

• Always make sure that the correct information is relayed to customers
• Acquire and accurately capture all necessary information
• Ensure that all admin and reporting is conducted timeously and in accordance with required processes and procedures
• Adhere to policies, procedures and all business standards and requirements

Qualifications & Accreditations

• Grade 12 / Matric or Equivalent
• RE 5 Financial Services Board mandatory regulatory examination successfully completed
• FAIS accredited at NQF Level 4

Experience & Skills

• Minimum of 2 years Insurance Customer Service experience within a Contact Centre
• Effective communication skills (verbal and written)
• Must be able to work shifts, weekends and public holidays
• Clear credit and criminal record
• Must be computer literate (email, internet, word and excel)
• Excellent telephone etiquette