Job title: Corporate Claims Technician with Aggregate Experience
Company: Mirror Images
Job description:
Compliance requirements:
Minimum five years relevant work experience in short term insurance claim settlement (Personal and Commercial claims, Motor and Non-Motor).
Competencies required to perform outputs and roles associated with these outputs:
Results oriented – Commitment – Proficiency – Continuous Learning – Honesty and Integrity – Adaptable to change – Strategic thinking – Team player – Goal oriented – Coaching and consulting – Time management – Communication skills – Ability to build good relationships – Work well under pressure.
Key Performance Areas:
- Claims Handling
- Managing own area of control
- Monthly reporting
- Admin drives
Key Clients: Brokers, direct clients, Managers, Directors, Suppliers, and fellow employees.
Responsibilities:
Registering of new claims:
Register all new claims received (as outlined in the registration SOP) and raise an appropriate reserve as outlined in the reserving methodology.
All claims received must be registered on the claims system within 24 hours.
All claims received after 15:00 must be registered before 12:00 on the following business day.
Action any immediate claims processing requirements in accordance with the relevant Claims procedure manual (i.e., Appointment of specialist - assessor/adjuster/repairer/supplier).
Diarise all newly registered claims for the next appropriate action date (i.e., to follow up on specialist report/outstanding documentation to ensure claims processing happens timeously).
Continuously update the claims activity TAB in respect of all actions taken on the claim.
Regular liaison and communication with broker/client on progress of the claim.
Actioning of Queries (telephone and email):
Attend to all queries received relating to “in-progress” claims timeously as per company turn-around times.
Action any claims processing requirements on receipt of new claims information, within the prescribed company turn-around times.
Amend reserves in accordance with reserving methodology and new information received.
Diarise all “in-progress” claims for the next appropriate action date to ensure claims processing happens timeously.
Continuously update the claims activity TAB in respect of all actions taken on the claim.
Regular liaison and communication with broker/client on progress of the claim.
“In-Progress”/ Outstanding claims:
Action any claims processing requirements in respect of the “In-Progress”/ Outstanding claims as per the target provided by the Team Leader (daily).
Amend reserves in accordance with reserving methodology based on the action required on the claim.
Diarise (where necessary) all “in-progress” claims for the next appropriate action date to ensure claims processing happens timeously.
Continuously update the claims activity TAB in respect of all actions taken on the claim.
Regular liaison and communication with broker/client on progress of the claim.
Provide daily feedback on actioned claims (as per the target agreed) to the Team Leader.
Ensure invoices and Agreements of loss are processed for payment in accordance with SOP and Management requirements.
Finalize/Settle claims in accordance with relevant company claims procedure.
Payments to Suppliers and Clients:
Process Invoice for authorization and payment upon receipt thereof.
Outcomes / Outputs:
Timely responses to email and telephonic messages.
Ensure that accurate record is kept of all new matters received in the department.
Maintaining professional behavior and work ethic at all times.
Display personal accountability for own actions, quality of work, and personal development.
Ensure that all deadlines are met.
Exhibit the Company’s Core Values at all times (Professionalism, Integrity, Perseverance, Positive Attitude).
Keeping to prescribed hours/timekeeping.
Team player and adhere to the backup arrangement as required by the department to ensure cohesion.
Expected salary:
Location: Johannesburg, Gauteng
Job posting date: Sat, 14 Sep 2024 07:11:34 GMT
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