Junior Claims Consultant - JHB - Central at Marvel Placement Consultant

Minimum Requirements:

• Matric.
• Essential: FAIS qualification.
• Essential: Regulatory Exams: RE5.
• Minimum of 5 years of claims experience.
• Experience with relevant Claims Systems (Cardinal 360, CIMS or Flexi)
• Proficient in Microsoft Office and Advanced Excel.
• Knowledge of insurance practices, markets, and competitors.
• Binder experience.

Roles and Responsibilities:

Claims Processing:

• Register all claims promptly within 2 hours and refer to insurers as needed.
• Adhere strictly to mandated procedures.
• Quickly appoint assessors or loss adjusters when necessary.
• Capture payments and process credits on the same day.
• Address recoveries within 7 days and follow up within 30 days.
• Conduct weekly follow-ups on outstanding invoices.
• Finalise claims promptly upon receipt of final correspondence.
• Expedite relevant claims for quick resolution within 48 hours.
• Keep clients updated on claim progress through the diary system.

System Administration:

• Amend estimates promptly upon receipt of new quotes or assessor reports.
• Ensure accurate completion of all relevant fields as per procedure.
• Immediately record or save documents and conversations on the system.
• Log all telephonic conversations with content, dates, and times.

Policy Amendments and Risk Management:

• Notify underwriters promptly upon receipt of claim forms.
• Alert underwriters immediately to claims revealing adverse risk features.

Diary Management and Business Acumen:

• Maintain an up-to-date diary daily.
• Stay in contact with service providers to remain informed of any changes.
• Stay abreast of relevant legislation affecting business processing.

Client Focus and Accountability:

• Respond professionally and accurately to client queries within 1 day.
• Ensure compliance with system procedures and information recording.
• Deliver on promises made.
• Provide personal and proactive client service, answering the telephone promptly.

Financial Discipline and Office Efficiency:

• Accurately report monthly data in a timely manner.
• Maintain office equipment and minimize costs.
• Adhere to open plan office protocols and keep workspace organised.

Compliance and Record Maintenance:

• Ensure compliance with FICA and FAIS requirements.
• Maintain concise and courteous written communication.
• Respond promptly to client emails and bind and scan documentation as needed.

Service Providers and Effective Communication:

• Cultivate professional relationships with service providers to meet client expectations.