Claims Processing Consultant: Warranty & Service Plan

Telesure Investment Holdings (TIH); Johannesburg; On-site; ZAR 180,000 - 260,000; Full time

Job summary

TIH is seeking a claims-focused professional to capture and process warranty and service plan claims with accuracy and efficiency. You will gather data from multiple sources, analyse information, and make decisions that align with established criteria to standardise claims processing.

Responsibilities include cost evaluation, SLA adherence, and maintaining up-to-date product knowledge to support decisions. You will also prepare documentation, communicate with stakeholders, and identify upsell

Qualifications

• Matric required; 1-3 years in financial services essential.
• Experience with warranty/service plan claims advantageous.
• STI experience and VAPS advantageous.

Responsibilities

• Capture and process warranty and service plan claims accurately.
• Collect data from sources, analyse information and investigate claims.
• Make decisions according to criteria to standardise claims.
• Cost claims using supplier contracts or negotiation.
• Manage schedules and ensure SLA compliance.
• Ensure claims are finalised within established parameters.
• Maintain up-to-date product knowledge to aid decision making.
• Prepare and manage claim documentation for customers.
• Provide regular feedback to stakeholders.
• Identify opportunities to upsell relevant products or services.

Skills

Customer management

Data collection

Data analysis

Decision making

Documentation

Communication

Upsell

Time management

Education

Matric / Grade 12 / SAQA Accredited Equivalent

Regulatory exam (Advantageous)

Tools

Claims system

Internal systems

Job description

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 warranty and service plan 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 (internal and 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

1-3 years Financial Services industry experience (Essential) STI experience and VAPS experience. Warranty and service plan claims handling experience (Advantageous).