Job Description

Job Summary Key Performance Areas:

• Validation of claims in line with Company guidelines and Standard Operating Procedures
• Management of Large loss and complex claims
• Appointment of necessary providers
• AuthorizationsSettlement of claims
• Rejection of claims
• Processing payments within the turn-around time
• Payment confirmations to Brokers and Suppliers
• Assisting clients and brokers over the phone / email with claims and queries
• Relationship Management with allocated brokers, including training of brokers with binder and outsource

agreements * Oversight and management of binder and outsource brokers

• Complaints handling and resolution
• Liaising with Service Providers
• Liaising with brokers and clients

Requirements:

• Matric Certificate xe2x80x93 essential
• Regulatory Exam
• Further Education and Training Certificate in Short-Term Insurance xe2x80x93 NQF 4, and/ or a Higher Certificate in

Short term Insurance - NQF 5 * Class of Business certification (Personal Lines & Commercial Lines) xe2x80x93 Highly advantageous

• Must be compliant with FAIS Fit and Proper requirements with track-record of working unsupervised.
• Marine and Engineering knowledge xe2x80x93 Highly advantageous
• Computer literate xe2x80x93 Microsoft Word, Excel, and Outlook
• Experience in Commercial and Personal lines
• At least 5-10 yearsxe2x80x99 relevant work experience in claims validations and settlement (both in Motor and NonMotor claims, as well as in both Personal Lines and Commercial Lines classes of business)
• Work experience within a licensed insurer, or Underwriting Manager.
• Experienced in making claims settlement determinations with mandate exceeding R250 000.00
• Sound technical knowledge and understanding of relevant short term insurance policy wording

Please note that only shortlisted candidates will be contactedManpower GroupRecruiter

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