Binder And Outsourced Claims Specialist

Gauteng, South Africa

Apply On Company Site

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

Requirements:

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

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

Must be compliant with FAIS Fit and Proper requirements with track-record of working unsupervised.
Marine and Engineering knowledge - Highly advantageous
Computer literate - Microsoft Word, Excel, and Outlook
Experience in Commercial and Personal lines
At least 5-10 years 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

Beware of fraud agents! do not pay money to get a job

MNCJobs.co.za will not be responsible for any payment made to a third-party. All Terms of Use are applicable.