VAPS Claims Processing Consultant

Telesure Investment Holdings (TIH); Johannesburg; On-site; ZAR 180,000 - 240,000; Full time

Job summary

TIHSponsored by TIH invites you to join a leading financial services organisation in Johannesburg. The role focuses on obtaining information from insured individuals to validate claims and support the claims administration process.

You will handle data collection, analysis, scheduling, documentation and correspondence, ensuring adherence to SLAs. Prior 0-1 year client services experience is preferred; SAQA accreditation is advantageous.

Qualifications

• Matric/ Grade 12 or SAQA equivalent is essential.
• Regulatory exam 5 advantageous.
• 0-1 year experience in client services; financial services environment advantageous.

Responsibilities

• Obtain information from insured or designated persons to validate claims.
• Manage customer by performing standard activities to complete requests (internal).
• Collect data from diverse sources, analyze information and investigate claims.
• Organize work schedule and coordinate with support services to meet SLAs.
• Prepare and manage claim documentation for customers.
• Identify product or service options that may meet customer needs and explain features

Skills

Customer service

Data collection

Investigation

Communication

Education

Matric / Grade 12

SAQA Accredited Equivalent (Essential)

Tools

Claims software

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

Obtain information from insured or designated persons for the purpose of validating claims using all resources available.

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. 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. 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. 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

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)