Posted on: 15 June 2023
ID 862842

CSI Agent: Claims

Description
  • Assists in the overall positive rating of our Customer Service Index by ensuring the highest level of satisfaction to customers, internal stakeholders and clients.
  • To process customer satisfaction related tasks by following the appropriate processes to ensure quick and correct action is taken. Professionally manage customer correspondence from customers/stakeholders regarding audits/claims/policy queries, as well as answer enquiries and questions, handle complaints, troubleshoot problems and provide information in relation to the Claims division.
Education Essential
  • Matric or Matric Equivalent at NQF level 4
Education Preferred
  • None
Experience Essential
  • At least one year experience in customer services environment
  • Intermediate to advanced knowledge of Microsoft Office
  • Knowledge of customer service principles and practices
Experience Preferred
  • Familiar with client satisfaction methodologies
Key Responsibilities Finance
  • Apply good financial governance and control. Ensure client contacts are done to assist in meeting departmental cost control savings targets and fraud detection.
  • Early detection of non-qualifying claims or irregular expenditure.
  • Achieve an overall average of 85% overall for all CSI interactions.
  • Adhoc activities outside of the scope of the CSI framework may be required from time to time.
  • Follows all attendance and punctuality standards with adherences to timekeeping standards.
Customer
  • Ensure customers are confident that they are dealing with a company where the fair treatment of customers is central to the firm culture.
  • Ensure customers are given clear information and are kept appropriately informed.
  • Ensure the customers' expectations and instructions are carried out where there are concerns raised to ensure no payments are made on claims that are not valid.
  • Deals with customer complaints in a sensible manner by showing empathy and a pleasant attitude to show our commitment to excellent customer service and to increase customer satisfaction and loyalty
  • Understands the terminology of the automotive insurance claims business and keep abreast of technology changes in the product
  • Build collaborative and cooperative relationships with stakeholders within the Innovation Group.
  • Where possible, provide support on improvement methods for customer satisfaction based on findings reported.
Risk and Governance
  • Follows the Company Code of Business Ethics and Conduct and adheres to all company policies and procedures.
  • Ensure adherence to CSI Standard Operation Procedures, identifying risks and escalate to correct claims area leadership team where relevant.
  • Ensure that QA framework is adhered to and consistently achieve a minimum of 90% on QA for CSI.
  • Highlight any irregulates identified that may adversely affect the claims process.
  • Upholds the company's non-disclosure and confidentiality policies and agreements, which may include all relevant compliant related legislation.
People
  • Contribute a positive work climate and culture within the team and minimise work disruption.
  • Effectively manage own performance in order to ensure business objectives are achieved.
  • Adhere to performance management process and ensure knowledge application and sharing between team members.
  • Together with line manager, determine and analyse own personal development needs and ensure that identified training requirements are agreed to are completed.
  • Assists in adhoc duties assigned by the manager/s from time to tie.
  • Creates a culture of ownership and accountability throughout the organisation in support of our values.
Benefits

Applications Close Date 21 Jun 2023

Visa - Right To Work

Target Start Date 1/3/2022

Description
  • Assists in the overall positive rating of our Customer Service Index by ensuring the highest level of satisfaction to customers, internal stakeholders and clients.
  • To process customer satisfaction related tasks by following the appropriate processes to ensure quick and correct action is taken. Professionally manage customer correspondence from customers/stakeholders regarding audits/claims/policy queries, as well as answer enquiries and questions, handle complaints, troubleshoot problems and provide information in relation to the Claims division.
Benefits

Applications Close Date 21 Jun 2023

Visa - Right To Work

Target Start Date 1/3/2022
Occupation:
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