Claims Processing Consultant: (Afrikaans)

Telesure Investment Holdings (Pty) Ltd.; Johannesburg; On-site; ZAR 134,000 - 201,000; Full time

Job summary

Telesure Investment Holdings (Pty) Ltd. soek 'n Claims Processing Consultant om skade-/eiseverwerking akkuraat te hanteer volgens die vasgestelde kriteria en standaardisering oor die organisasie te verseker. Die rol fokus op kliëntediens, data-insameling en dokumentasiehandling.

Verantwoordelikhede sluit in die insameling van data, analise vir besluitneming, en die voorberei van eise-dokumente volgens interne prosedures en SLA’s. Relevante finansiële dienste-ervaring word as voordelig beskou.

Qualifications

• Kliëntediensvaardighede en kommunikatievermoëns
• Dataverwerking en analyse van skakels/bronne
• Regverdig en akkuraat administratiewe prosesse

Responsibilities

• Help bestuur kliënte deur standaardaktiwiteite uit te voer om die versoek af te handel
• Verkry data vanaf verskeie bronne en analiseer vir eisebesluitneming
• Bereid eise dokumentasie voor en hou rekords ordelijk in die interne stelsel
• Reageer op kliënte- en verskafferberigte volgens SLA-vereistes
• Skeduleer en organiseer werk om eise betyds af te handel
• Uitreik na kliënte vir korreksies of bykomende inligting
• Identifiseer kandidate produkte of dienste wat aan die kliënt se behoeftes voldoen

Skills

Kliëntediens

Data-analise

Vrae vra

Education

Matric / Grade 12

SAQA Accredited Equivalent

Job description

## Claims Processing Consultant: (Afrikaans)Apply: Gauteng, Johannesburg: Full time: Posted Today: End Date: September 25, 2026 (6 days left to apply): JR105720## **Join TIH, home to some of South Africa’s leading financial service providers, and grow your career while being part of an organisation with purpose.****Job Purpose**Capture and process VAPS claims efficiently and accurately through drawing on the relevant criteria to ensure standardisation across the organisation to enable decision making on a claim.**Responsibilities****Customer Management (Internal)**Help manage customer by carrying out standard activities to complete the customer request.**Data Collection & Analysis**Ask questions, collect data from a variety of sources, analyse information and investigate claim. Make decisions according to established criteria to ensure standardisation across the organisation by accurately administrating and underwriting claims. Use appropriate tools (supplier contract and/or negotiation) to accurately cost applicable claims on a day-to-day basis.**Work Scheduling and operational compliance**Organise own work schedule in order to get the job done, coordinating with support services and completed work within SLA. Ensure claims are finalised within the set parameters (turnaround time, terms and conditions applied accurately). Remain up to date with current and new product knowledge to enable effective decision making.**Administration**Produce, update and provide best practice support to customers on the claims administration process and other departmental systems, in line with claims policy, rules and SLAs.**Correspondence**Respond to routine requests using telephonic conversation or emails (internaland external). Ensure regular feedback to customer, service providers and other stakeholders, as determined by the company and/or customer requirements to ensure customer receives appropriate feedback from the claim department.**Document Management**Create, organise and maintain files containing the correspondence relating to policies and matters and claims to be uploaded on internal system.**Document Preparation**Prepare and manage claim documentation for customers.**Up-sell Customer Propositions**Identify a selection of products or services that may meet the customer's requirements, explain the product/service features influence the customer to add additional products/services.**Education**Matric / Grade 12/ SAQA Accredited Equivalent (Essential); Regulatory exam 5 (Advantageous)**Experience**0-1 year experience, especially client services – which includes capturing applications, instructions, reporting, and attending to IFA and client queries (Essential); Experience in the Financial Services environment (Advantageous)## **Think you have what it takes to be part of an unstoppable team who constantly finds better ways to give peace of mind? Don't wait, apply now.**