Technical Claims Assessor at Nedbank

Job Responsibilities

• 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.
• Build networks with stakeholders by participating in forums.
• Identify, build and maintain relationships with stakeholders to understand their short term insurance needs.
• Meet client needs by ensuring claims are processed according to service level agreement and insurance policy.
• 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 with team.
• Contribute to a culture conducive to the achievement of transformation goals by participating in Nedbank Culture building initiatives (e.g. staff surveys etc.).
• Participate and support corporate social responsibility initiatives for the achievement of key business strategies.
• Identify and recommend opportunities to enhance processes, systems and policies and support implementation of new processes, policies and systems.

 

FAIS Affected

FAIS Affected - Yes

Essential Qualifications - NQF Level

• Matric / Grade 12 / National Senior Certificate

Preferred Qualification

Higher Certificate: Long Term Insurance

Minimum Experience Level

• 3-5 years working experience as a Technical Claims Consultant dealing with death, disability and critical illness claims within the Life Insurance space within the Banking/Financial Services Industry.

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

Behavioural Competencies

• Earning Trust
• Collaborating
• Customer Focus
• Decision Making
• Initiating Action
• Work Standards
• Managing Work