PPS has more than 200 000 members who enjoy access to a comprehensive suite of financial and healthcare products that are specifically tailored to meet the needs of graduate professionals.
PPS is the largest South African company of its kind that still embraces an ethos of mutuality, which means that it exists solely for the benefit of its members. Thus, ...
Read more about this company
Provide focus on profitability measures in terms of claims spent and act as support for the Technical Operational Manager of PPS STi.
Assess the merits of all claims to determine their validity against the policy wording.
On a daily basis check all claims registered and determine the way forward (Immediate settlement, Fast Track verification, Full Verification)
Monitor the financial movements of claims by collating claims paid and the estimates.
Guide and initiate change initiatives in the PPS Short Term Claims area through regularly engaging with the area and giving support with continuous monitoring and auditing.
Physical checking up on SAPS, Towing, witnesses to determine the way forward with the claim.
Do all IA and NFO feedback and update the register.
Reporting & Audits
Compile audit finding reports and distribute to all relevant stakeholders.
Monitor statistics in order to timeously notify PPS STI management of any negative changes in claims.
Constantly reviewing and identifying insufficient claims processes and efficiencies and recommend improvements to ensure cost efficiency.
Checking/Auditing MBR (Motor Body Repair) Quotation and check if damages are consistent with the claim’s description.
Checking/Auditing Non-Motor Claims, quotations and invoices.
Checking alarm reports and keypad downloads. Obtain Lightning reports if needed.
Keep record and provide a monthly report of savings.
Gmail
Yahoomail