To attend to day to day management of liability claims and recoveries across various products and to provide supervisory oversight over a defined area.
Requirements
- Matric
- Computer Literacy(MS Word, Outlook and Excel)
- Comfortable with Insurance Systems
- NQF 5
- Insurance related qualification RE exams for representatives
- Extensive experience of commercial, fleet claims
- RE Exam
- Registered Representative
- At least 5 years of motor claims experience and aggregate claims
- At least 1 year management experience
- Intensive knowledge of Commercial and Corporate insurance products and claims (motor and non-motor)
- Provision of an efficient and effective insurance claims service. This includes ensuring that all claims related matters are dealt within the timescales imposed by statute and all monies due to the organisation arising from material loss are maximised and recovered without undue delay.
- Handling /settling claims in accordance with applicable policies and standard operating procedures
- Handling and settling claims within stipulated time frames and as per SLAs in place
- Entering into settlement negotions in conjunction with Manager, attending meetings and seminars and alerting senior management to developments in the field particularly as it affects the industry sector in which the organisation operates
- Providing Clients/ Brokers with the highest standard of service
- Effecting training/briefing sessions for staff at all levels
- Ensuring diary system is implemented and adhered to maintaining and updating reserves, attending to payment requests
- Attending to payment requests
- Managing outstanding claims volumes and estimates
- Timely responses to email and telephonic messages
- Proper time keeping and task prioritization
- Attending to any other tasks as may be assigned from time to time
- Provide a supervisory function over a defined area within the claims department which shall include among others
- Providing technical advice to the area where required
- Generate and use reports off the claims system to ensure effective management of the team
- Manage and reduce weekly exceptions
- Weekly operational reporting to the Claims Manager
- Regular engagement with team to identify and address performance and general efficiency issues
- Continually manage, review and measure team activities against targets and SLAs
- Manage preferred list of service providers and monitor service levels
- Enable and track system enhancements
- Building relationships with service providers and manage SLAs
- Make claim decisions with claims mandate
- First signatory authorization on payments
- Ensure technicians have attended to their daily/weekly/monthly responsibilities
- Managing, mentoring and instructing staff regarding claims handling and processing
- Ensuring compliance with company standards/regulations
- Ensure that all staff are up to date with product knowledge
