Job Description

An Insurance company based in Rivonia/Sandton is currently seeking a Claims Technician (Motor and Non motor) to ensure the accurate capturing, processing and finalisation of all Personal/Commercial ClaimsCompliance requirements:

• Matric certificate
• Successfully Completed RE 1 or RE5
• NQF Level 4 certificate in short term insurance
• Statement of results - 150 credits
• CPD certificates indicating that your last cycle is up to date
• Class of business certificate in Personal Lines
• Updated DOFA report indicating that you are a registered Rep with your current Employer and that you are not working as a Claims technician under supervision.
• Minimum five years relevant work experience in short term insurance claim settlement (Personal and Commercial claims, Motor and Non-Motor).

COMPETENCIES REQUIRED TO PERFORM OUTPUTS AND ROLES ASSOCIATED WITH THESE OUTPUTS:

• Results oriented - Commitment - Proficiency - Continuous Learning - Honesty and Integrity
• Adaptable to change - Strategic thinking - Team player - Goal oriented - Coaching and consulting - Time management -Communication skills - Ability to build good relationships
• Work well under pressure

Registering of new claims:
Register all new claims received (as outlined in the registration SOP) and raise an appropriate reserve as outlined in the reserving methodology.
All claims received must be registered on the claims system within 24 hours.
All claims received after 15:00 must be registered before 12:00 on the following business day
Action any immediate claims processing requirements in accordance with the relevant Claims procedure manual i.e. Appointment of specialist (assessor/adjuster/repairer/supplier)
Diarise all newly registered claims for the next appropriate action date i.e. to follow up on specialist report/ outstanding documentation to ensure claims processing happens timeously
Continuously update the claims activity TAB in respect of all actions taken on the claim
Regular liaison and communication with broker/ client on progress of the claimActioning of Queries (telephone and email):Attend to all queries received relating to in-progress claims timeously as per company turn-around times
Action any claims processing requirements on receipt of new claims information, within the prescribed company turn-around times
Amend reserves in accordance with reserving methodology and new information received
Diarise all in-progress claims for the next appropriate action date to ensure claims processing happens timeously
Continuously update the claims activity TAB in respect of all actions taken on the claim
Regular liaison and communication with broker/ client on progress of the claimAction current day diary/ User note:
Attend to all current day diary and user note items timeously as per company turn-around times
Action any claims processing requirements as outlined in the diary or user note item, within the prescribed company turn-around times
Amend reserves in accordance with reserving methodology based on the action of the diary or user note item
Re-diarise(where necessary) all in-progress claims for the next appropriate action date to ensure claims processing happens timeously
Continuously update the claims activity TAB in respect of all actions taken on the claim
Regular liaison and communication with broker/ client on progress of the claim
In-Progress/ Outstanding claims:
Action any claims processing requirements in respect of the In-Progress/ Outstanding claims as per the target provided by the Team Leader. (daily)
Amend reserves in accordance with reserving methodology based on the action required on the claim
Diarise (where necessary) all in-progress claims for the next appropriate action date to ensure claims processing happens timeously
Continuously update the claims activity TAB in respect of all actions taken on the claim
Regular liaison and communication with broker/ client on progress of the claim
Provide daily feedback on actioned claims (as per the target agreed) to the Team Leader
Ensure invoices and Agreements of loss are processed for payment in accordance with SOP and Management requirements
Finalise/ Settle claims in accordance with relevant company claims procedure
Payments to Suppliers and Clients:
Process Invoice for authorisation and payment upon receipt thereof
OUTCOMES / OUTPUTS:
Timely Responses to email and telephonic messages.
Ensure that accurate record is kept of all new matters received in the dept.
Maintaining professional behavior and work ethic at all times
Display personal accountability for own actions, quality of work and personal development
Ensure that all deadlines are met
Exhibit Econorisks Core Values at all times (Professionalism, Integrity, Perseverance, Positive Attitude)
Keeping to prescribed hours/ timekeeping
Team player and adhere to the backup arrangement as required by department to ensure cohesion

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