Motor Claims Consultant: Auto & General Australia

Telesure Investment Holdings (Tih); Johannesburg; Presencial; ZAR 180.000 - 240.000; Jornada completa

Descripción de la vacante

TIH seeks a claims processing professional to handle already-captured claims with accuracy and efficiency, drawing on established criteria to ensure standardisation. You will manage customer requests, collect data, analyse information and support underwriting decisions to finalise claims within required SLAs.

The role involves preparing claim documents, data entry, and timely communication with insureds and relevant parties, while maintaining up-to-date product knowledge and adherence to claims

Formación

• Grade 12 / SAQA Accredited Equivalent (Essential)
• 1+ years Financial Services industry experience (Essential)
• Call Centre Experience (Essential)
• 1+ years Claims Experience (Advantageous)
• At least 2-3 years' experience in a Customer Service environment (Advantageous)

Responsabilidades

• Process already-captured claims efficiently and accurately using established criteria.
• Manage customer requests and provide standard services to complete the customer request.
• Collect data from multiple sources, analyse information and investigate claims to support decision-making.
• Organise work schedule to complete tasks within SLA and ensure timely finalisation of claims.
• Prepare insurance claim forms or related documents and review them for completeness.
• Enter claims information into database systems and post or attach information to claim files.
• Respond to routine requests via telephone or email and provide appropriate correspondence.
• Review policy coverage and communicate outcomes to customers and other involved parties.

Educación

Grade 12 / SAQA Accredited Equivalent

Descripción del empleo

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

Process already-captured 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 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).

Document Management
Create, organise and maintain files containing the correspondence relating to policies and matters.

Document Preparation
Prepare and manage claim documentation for customers.

TASKS
Prepare insurance claim forms or related documents and review them for completeness.
Enter claims information into database systems.
Pay small claims.
Calculate quantum amount of claim.
Post or attach information to claim file.
Transmit claims for further investigation.
Contact insured or other involved persons to obtain missing information.
Review insurance policy to determine coverage.

Organise or work with detailed office records, using computers to enter, access, search or retrieve data.
Provide customer service, such as limited instructions on proceeding with claims or referrals to auto repair facilities or local contractors.
Finalise claims and communicate the outcome to the customer
Listen and transcribe client conversations
Request Client Conversation
Retrieve Client Conversation
Issue repair / replace vouchers
Load and action 15-minute messages
Complete Things to Do (TTD's) and requests
Refer to Loss Adjuster when required
Arrange to collect salvage - Non-Motor where applicable
Arrange to collect salvage - Motor where applicable

Education

Grade 12 / SAQA Accredited Equivalent (Essential)

Experience

1 or more years Financial Services industry experience (Essential); Call Centre Experience (Essential); STI experience (Advantageous); 1 or more years Claims Experience (Advantageous); At least 2-3 years' experience in a Customer Service environment (Advantageous).