Senior Claims Consultant

• 3 years commercial claims experience
• Microsoft Office (Word, Excel)
• CIMS - advantageous
• Matric or equivalent qualification
• RE5 NON NEGOTIABLE
• FAIS compliant (credits and/or full qualification)

• Ensure appropriate minimization of claims and claims expenses
• Ensure and contribute to minimization of general expenses
• Ensure that all stakeholder (e.g. clients, AEs, insurers) communication is accurate, timeous, professional and relevant
• Build and maintain mutually beneficial relationships with internal (e.g. account executives) and external (e.g. clients) stakeholders
• Keep client informed regarding to progression of the claim
• Ensure and contribute to achieving the required client satisfaction targets
• Claims Administration
• Receive claims notification, and send and obtain any relevant forms or documents as may be required
• Administer complete claims process according to defined claims procedures until claims are settled
• Appoint assessor or loss adjustor
• Apply policy terms and conditions
• Keep internal system and records up to date at all times
• Keep relevant internal stakeholders up to date on the progress of registered claims
• Make assessment of claims validity and estimate value and administer mandated claims
• Forward claims in excess of mandate to insurer
• Obtain quotes for services
• Arrange approval and payment for claims costs in line with claims and cover
• Act as intermediary between insurer and client and timeously relay communication, requests and documentation
• Follow the recoveries process, diarize follow-ups and keep clients informed
• Ensure productivity targets are met
• Contribute towards and ensure continuous improvement in own and team performance
• Adhere to company mandates
• Participate and contribute in ad hoc projects
• Report any suspected fraud, misrepresentation and/or dishonesty
• Keep accurate record of own activities
• Live the RBS values by committing to the organizational values
• Ensure continuous self-development
• Share information and knowledge with the team

• Mon Fri: 08:00 16:30

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