Binder And Outsourced Claims Specialist

Gauteng, South Africa

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

Job Mail

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Job Detail

  • Job Id
    JD1350787
  • Industry
    Not mentioned
  • Total Positions
    1
  • Job Type:
    Full Time
  • Salary:
    R12000 - 15000 per month
  • Employment Status
    Permanent
  • Job Location
    Gauteng, South Africa
  • Education
    Not mentioned