Claims Auditor - SandtonFull job descriptionIntroductionAudit and monitor all Aggregates claims, internal motor and non-motor claims as per audit programme. Role PurposeAudit and monitor all Aggregates claims, internal motor and non-motor claims as per audit programme. RequirementsMatricFAIS compliantAn insurance/ relevant qualificationAt least 5-10 years relevant working experience, with some supervisory functionsAn exceptional eye for detailAn ability to work accurately under pressureA comprehensive understanding of multiple short- term insuranceA comprehensive understanding of standard and non-standard insurance facilities, with specific focus on aggregates and related facilities, internal motor claims and non-motor claimsSound knowledge of Commercial and Corporate type claims Duties & ResponsibilitiesAudit and monitor all functions in terms if agreements including monthly reportsService ProvidersAnalyse audit reports and follow up on that audit findings are actioned promptly, and all issues closedEnsure that on new accounts, there is proper communication and alignment of brokers’ responsibilities with all impacted stakeholders- i.e. tracking, reporting and proceduresEnsure mandate is set and adhered to by the party to whom responsibilities are delegatedIdentify, track and remedy claims leakage at the respective delegated partiesAssist with General Financial Functions within the claims teamAssessing accuracy and quality of usage of the claims systemRecommending enhancements to the systemAssessing on an ongoing basis process efficiencies in the claims space and recommending solutions to the management team where deficiencies are detectedConducting random portfolio reviews across the products to assess capacity and competencyImplementing generally accepted audit methodology within the quality assurance program CompetenciesBusiness AcumenCustomer Focus RelationshipsAttention to detailAnalysis & JudgementPractical LeadershipStress HandlingRule OrientationSound organizational, planning and communication skills
