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  • Posted: Jan 26, 2024
    Deadline: Not specified
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  • In 1988 Risk Benefit Solutions (RBS) started out as a small proprietorship. A little over 20 years on - it’s now one of the largest fully fledged financial services advisory firms in southern Africa. Our services cover a broad spectrum of needs including Insurance Broking, Risk Management, Corporate Risk Advisors, Employee Benefit Administrators and Consul...
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    Senior Claims Consultant (Cape Town CBD)

    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

    go to method of application »

    Recoveries and Liabilities Assistant (Cape Town CBD)

    Role Purpose

    • To provide administrative support during the recoveries and liabilities claims process, and support of the business strategy for excellent service and growth.

    Financial:

    • Ensure and contribute to minimisation of general expenses

    Business Processes

    Provide administrative assistance to the recoveries division wrt the following processes (but not limited to):

    • Recoveries and liabilities claims administration and support
    • Receive instruction to commence with recovery process and review the claims history to ensure all relevant information has been received
    • Trace parties and make contact to provide information regarding the recovery process and obtain information
    • Compile and dispatch the relevant documents (letter of demand, pre litigation notice, request for settlement etc.)
    • Ensure accurate records are kept on recoveries progress and saved on the system
    • Prepare and send invoices for services rendered
    • Keep track of payments received and allocate payment
    • Keep the client and internal servicing team up to date regarding the progress of the recovery
    • Provide information and administrative support to internal and external legal team to support further legal processes
    • Keep diary of weekly follow-ups with third parties and third party insurers
    • Ensure the matter is settled or escalate within the required legal framework
    • Provide legal administrative support from the start to end of the liabilities claims process
    • 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 Way
    • Ensure continuous self and professional development
    • Share information and knowledge with the team

    Requirements

    Minimum Qualifications and Skills

    • Matric or equivalent
    • LLB Degree
    • Excellent communication

    Minimum Experience

    • Some practical experience in recoveries and liabilities administration within insurance will be advantageous, but not required as this is an entry-level position

    Method of Application

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