Claims Consultant

SUMMARY:
Our client in Port Elizabeth seeks a proficient Claims Consultant to offer stakeholders and account executives effective claims guidance and administration in line with established standards and procedures, supporting business objectives. The role involves minimizing claims and associated expenses to reduce overall costs, while ensuring timely, accurate, and professional communication with stakeholders and insurers. Building and nurturing positive relationships with both internal and external parties is essential. Additionally, keeping clients informed about claim progress and working towards achieving high client satisfaction are key responsibilities.

POSITION INFO:
A recent professional profile photo is to accompany your application
EMPLOYMENT TYPE : Permanent
SECTOR : Insurance
BASIC SALARY : Market Related
START DATE : A.S.A.P / Immediate REQUIREMENTS:

• Matric or equivalent
• Re 5
• FAIS appropriate qualifications/credits
• Computer literate
• CIMS – advantageous
• Excellent communication skills (verbal & written

• Financial:
• Ensure appropriate minimisation of claims and claims expenses
• Ensure and contribute to minimisation of general expenses

• Ensure that all stakeholder communication is accurate, timeous, professional and relevant
• Build and maintain mutually beneficial relationships with internal and external stakeholders
• Keep client informed regarding the progression of the claim
• Ensure and contribute to achieving the required client satisfaction targets

• Adhere to company quality standards and broader regulatory frameworks with regards to the following processes but not limited to:

• 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 assessor
• 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 the 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, diaries 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 dishonesty
• Keep accurate record of own activities

• Live the company values by committing to the organizational values
• Ensure continuous self-development
• Share information and knowledge with the team

• Monday to Friday : 8:00 - 16:30