Specialist: Claims Assesor at Liberty Group South Africa

Purpose

To provide specialist advise and support in the generation and provision of reliable claims assessment activities, to support key deliverables and informed decision making, through the execution of predefined objectives as per agreed SOPs.

Minimum Experience

• 3 - 5 years experience in a similar environment

Minimum Qualifications

• Bachelor`s Degrees and Advanced Diplomas [NQF Level 07] in Generic Management

Additional Minimum Qualifications

Outputs

Process

• Adhere to identified best practices in providing advice and support from a specialist perspective.
• Independently, fairly and effectively assess and manage risk claims within relevant authority limits.
• Process special claims as and when they occur and provide support to resolve relevant concerns related to claims.
• Accountable for the execution of specialised work including the improvement of quality, standards and outputs within defined work routines and operating procedures.
• Proactively solves problems, determines root-cause and applies solutions in line with guidelines and providing the necessary information to solve problems related to area of specialisation.
• Plan for own task execution and advises on improvements related to area of specialisation.

Customer

• Provide support to ensure the effective resolution of customer queries in order to promote customer satisfaction and retention.
• Ensure that workflow items, escalations and queries are resolved within SLA.
• Provide advice and support in area of accountability to ensure that identified solutions and recommendations are appropriate and effective.
• Ensure own understanding and adherence to customer service delivery and Treating the Customer Fairly (TCF) principles to provide specialist support and guidance.

Finance

• Adhere to specified standards, policies and procedures to prevent potential losses/wastage related to the area of specialisation.

Learning and Growth

• Contribute positively to own area-specific knowledge improvement associated with area of specialisation.

Governance

• Comply to set governance and compliance procedures and processes related to an area of work and continuously identify, rectify and escalate risks where necessary.

Competencies

Liberty Values

Technical Competencies

• Claims notification and investigation (Intermediate)
• Research and Information Gathering (Basic)
• Reporting and Interpretation (Basic)
• Claims knowledge (Intermediate)
• Customer Advice (Technical) (Basic)
• Insurance products and services (Intermediate)
• Customer Relationship Management (Basic)

Behavioural Competencies

• Professional/Technical learning (Basic)
• Analytical Thinking (Proficient)
• Organisation and Attention to Detail (Basic)
• Interpersonal Effectiveness (Basic)
• Problem Solving and Analysis (Basic)
• Teamwork and Cooperation (Basic)
• Customer service orientation (Basic)
• Communicating with Impact (Basic)
• Customer Orientation (Basic)