Claims Consultant - Bedfordview

RBS Insurance Brokers

  • Bedfordview, Gauteng
  • Permanent
  • Full-time
  • 2 months ago
Role PurposeTo provide stakeholders (e.g. clients, account executives) with efficient claims advice and administration according to the required standards and procedures in support of the business strategy.Financial:
  • Ensure appropriate minimisation of claims and claims expenses
  • Ensure and contribute to minimisation of general expenses
Client:
  • Ensure that all stakeholder (e.g. clients, AE’s, 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
Business Processes:
  • Adhere to company quality standards and broader regulatory frameworks wrt the following processes (but not limited to):
  • 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, diarise 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
Learning and Growth:
  • Live the RBS values by committing to the organisational values
  • Ensure continuous self-development
  • Share information and knowledge with the team
Minimum Qualifications and Skills:
  • Matric or equivalent
  • RE 5
  • FAIS appropriate qualification/credits
  • Computer literate
  • CIMS - advantageous
  • Excellent communication skills (verbal & written)
Minimum Experience:
  • 3?+ years commercial claims experience

RBS Insurance Brokers

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