Posted on: 28 June 2023
ID 864700

Claims Binder Auditor

Role Purpose

Audit and monitor Binder Agreements as per audit programme.

Requirements
  • Matric
  • FAIS compliant
  • An insurance/ relevant qualification
  • At least 5-10 years relevant working experience, with some supervisory functions
  • A comprehensive understanding of multiple short term insurance products
  • A comprehensive understanding of standard and non-standard insurance facilities, with specific focus on aggregates and related facilities
  • Sound knowledge of Commercial, Fleet and Corporate type claims
Duties and Responsibilities
  • Audit and monitor all functions in terms of agreements including monthly reports, float recons and bordereaux requests.
  • Follow up on audit findings and ensure that findings are actioned promptly and all issues closed
  • Ensure communication and alignment of broker responsibilities with all impacted stakeholders.
  • Ensure mandate is set and adhered to by the party to whom responsibilities are delegated
  • Identify, track and remedy claims leakage at the respective delegated parties
  • Provide quality assurance oversight into all claims
  • Assess accuracy and quality of usage of the claims system
  • Recommend enhancements to the system
  • Assess on an ongoing basis process efficiencies in the claims space and recommending solutions to the management team where deficiencies are detected
  • Conduct random reviews to assess capacity and competency
  • Implement generally accepted audit methodology within the quality assurance program
Occupation:
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