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  • Posted: Dec 23, 2021
    Deadline: Not specified
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    Nedbank Group Limited is a bank holding company that operates as one of the four largest banking groups in South Africa. The company's shares have been listed on the JSE Limited since 1969. The group offers a wide range of wholesale and retail banking services through four main business clusters, namely Nedbank Corporate and Investment Banking, Nedbank Retai...
    Read more about this company

     

    Personal Claims Consultant

    Job Purpose

    • Accurate assessment, investigation and processing of long term insurance claims.

    • These claims will include death, disability and critical illness claims.

    • Processing claims and assessing payment of benefits in accordance with the policy terms and conditions

    Job Responsibilities

    • with team Develop effective relationships with stakeholders

    • Meet client needs by ensuring claims are processed according to service level agreement and insurance policy

    • Monitor customer delivery and escalate exceptions to management.

    • Ensure Service Level Agreements are met and exceeded.

    • Identify risks to the company and escalate accordingly.

    • Monitor claims received to ensure that duplication does not occur resulting in financial loss to the company.

    • Comply with Service Level Agreement or Claims Protocol by administering and facilitating the claims process.

     

    • Reduce risk to Nedbank Group by monitoring; identifying and reporting trends in claims

    • Drive and support effective teamwork within the department.

    • Engage in appropriate training interventions to promote own professional development.

    • Ensure to demonstrate the company's values on a daily basis.

    • Adhere to organisational best practice and legislative requirements.

    • Ensure effective claims management service delivery and support.

    • Perform an efficient and accurate administrative function.

     

    • Identify and recommend opportunities to enhance processes; systems and policies and support implementation of new processes; policies and systems.

    • Initiate and process claims to finalisation by ensuring compliance to insurance policy.
      Comply with Service Level Agreements by adhering to self-imposed standards and timeframes.

    • Minimise risk by complying with all Nedbank policies and procedures.

    • Keep abreast of legislation and other industry changes that impacts on role by reading the relevant newsletters; websites and attending sessions.

    • Understand and embrace the Nedbank vision and demonstrate the values through interaction with team and stakeholders.

     

    • Improve personal capability and stay abreast of developments in field of expertise by identifying training courses and career progression for self through input and feedback from managers

    • Ensure personal growth and enable effectiveness in performance of roles and responsibilities by ensuring all learning activities are completed; experience practiced and certifications obtained and/or maintained within specified time frames.

    • Ensure information is provided correctly to stakeholders by maintaining and sharing knowledge

    Minimum Experience Level

    • 3 – 5 years’ experience in a Claims environment

    • Knowledge of Life Insurance advantageous

    • Knowledge of insurance and industry legislation advantageous

    Essential Qualifications - NQF Level

    • Matric / Grade 12 / National Senior Certificate

    Preferred Qualification

    • OT qualification (or similar)

    • Life Insurance qualification

    Type of Exposure

    • Working with a group to identify alternative solutions to a problem

    • Completing various administrative duties (e.g.; answering phones; making copies; filing)

    • Managing conflict situations

    • Comparing two or more sets of information

    • Tracking cost against a budget

    • Capturing data

    • Checking accuracy of reports and records

    • Drafting reports

    • Building and maintaining effective relationships with internal and external stakeholders

    Technical / Professional Knowledge

    • Administrative procedures and systems

    • Banking procedures

    • Business principles

    • Business terms and definitions

    • Data analysis

    • Governance, Risk and Controls

    • Relevant regulatory knowledge

    • Relevant software and systems knowledge

    • Business writing skills

    • Cluster Specific Operational Knowledge

    Method of Application

    Interested and qualified? Go to Nedbank on jobs.nedbank.co.za to apply

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