Technical Personal Claims Consultant: Life at Nedbank

Job Purpose

To provide the expertise to accurately assess, investigate and process claims of a technical nature according to the parameters of the Long Term Insurance industry and Nedbank Insurance. These claims will include death, disability and critical illness amongst others, primarily focused on the first 3 aspects.

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 long 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.

Essential Qualifications - NQF Level

• Matric / Grade 12 / National Senior Certificate

Preferred Requirements

• OT qualification (or similar)
• 3 – 5 years’ experience in a Claims environment
• Knowledge of Life Insurance advantageous
• Knowledge of insurance and industry legislation advantageous
• Life Insurance qualification

Minimum Experience Level

2 - 3 years' experience working as a Long Term Technical Claims Consultant. 

Technical / Professional Knowledge

• Administrative procedures and systems
• Insurance Procedures
• Industry terms and conditions. 
• Business principles
• Business terms and definitions
• Data analysis
• Governance, Risk and Controls 
• Relevant regulatory knowledge 
• Business writing skills
• Industry terms and conditions

Behavioural Competencies

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