Corporate Claims Technician with Aggregate Experience

Mirror Images; Johannesburg; On-site; ZAR 30 000 - 50 000; Full time

Job summary

An established industry player is looking for a Corporate Claims Technician to join their dynamic team in Johannesburg. This role involves managing the accurate processing and finalization of personal and commercial claims, ensuring compliance with industry standards. The ideal candidate will have a strong background in short-term insurance, exceptional communication skills, and a commitment to delivering results. Join this forward-thinking company and contribute to their mission of providing excellent service to clients while working in a collaborative environment that values integrity and continuous learning.

Qualifications

• Minimum five years experience in short term insurance claims.
• Must have completed required compliance certifications.

Responsibilities

• Register and process all new claims within specified timelines.
• Maintain regular communication with clients and brokers regarding claims.

Skills

Claims Processing

Communication Skills

Time Management

Teamwork

Strategic Thinking

Education

Matric Certificate

NQF Level 4 in Short Term Insurance

RE 1 or RE5 Certificate

Job description

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

POSITION INFO :

Compliance 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

KEY PERFORMANCE AREAS :

• Managing own area of control
• Monthly reporting

KEY CLIENTS : Brokers, direct clients, Managers, Directors, Suppliers and fellow employees.

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 claim

Actioning 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 claim

Action 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

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 Econorisk’s 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