Senior Claims Consultant - Cape Town CBD at RBS

Role Purpose

• To provide stakeholders (e.g. clients, account executives) with efficient claims advice and administration according to the required standards and procedures in support of the business strategy. 

Financial:

• Ensure appropriate minimisation of claims and claims expenses 
• Ensure and contribute to minimisation of general expenses 

Client:

• Ensure that all stakeholder (e.g. clients, AE’s, insurers) communication is accurate, timeous, professional and relevant 
• Build and maintain mutually beneficial relationships with internal (e.g. account executives) and external (e.g. clients) stakeholders 
• Keep client informed regarding to progression of the claim 
• Ensure and contribute to achieving the required client satisfaction targets

Business Processes:

Adhere to company quality standards and broader regulatory frameworks wrt the following processes (but not limited to): 

• Claims Administration
  • Receive claims notification, and send and obtain any relevant forms or documents as may be required 
  • Administer complete claims process according to defined claims procedures until claims are settled 
  • Appoint assessor or loss adjustor  
  • Apply policy terms and conditions 
  • Keep internal system and records up to date at all times 
  • Keep relevant internal stakeholders up to date on the progress of registered claims 
  • Make assessment of claims validity and estimate value and administer mandated claims 
  • Forward claims in excess of mandate to insurer  
  • Obtain quotes for services 
  • Arrange approval and payment for claims costs in line with claims and cover 
  • Act as intermediary between insurer and client and timeously relay communication, requests and documentation 
  • Follow the recoveries process, diarise follow-ups and keep clients informed 
• Ensure productivity targets are met 
• Contribute towards and ensure continuous improvement in own and team performance 
• Adhere to company mandates 
• Participate and contribute in ad hoc projects 
• Report any suspected fraud, misrepresentation and/or dishonesty 
• Keep accurate record of own activities 

Learning and Growth:

• Live the RBS values by committing to the organisational values 
• Ensure continuous self-development 
• Share information and knowledge with the team

Requirements

Minimum Qualifications and Skills:

• Matric or equivalent 
• RE 5 
• FAIS appropriate qualification/credits 
• Computer literate 
• CIMS - advantageous 
• Excellent communication skills (verbal & written) 

Minimum Experience:

• 3 + years commercial claims experience