Claims Consultant La Lucia
Simply HR PayrollUmhlanga Rocks, KwaZulu-Natal, South Africa30+ days ago
Job descriptionEnsure that all Customers are treated fairly, you must have a clear understanding and accurate interpretation of the reported incident, claims history, and correct application of the policy wording. When communicating technical detail to the Customer, Loss Adjusters to consult or debate the outcome of the claim, ensure lateral thinking and professional engagement with all parties. Have an inquisitive and investigative mind to communicate and report suspicious activity to the next reporting level if further intervention is required. Possess the ability to communicate calmly and professionally yet assertively with difficult customers at all levels and outcomes in a fair, sensitive, and persuasive manner, always keeping in mind that the customer must be treated fairly as required. Have a clear understanding of how to engage and communicate with the appropriate specialist service providers to engage on each claim, such as engineers, etc. Maintain effective relations with all stakeholders within the organization. This includes but is not limited to : Finance Division to improve on service delivery issues regarding payment authorizations. Home Loans Customer Contact Centre to assist and improve customer communication, complaints, and technical support. Policy Administration for advice of any policy amendments, client queries / requests, and complaints resolution. Insurance Customer Contact Centre to provide and assist with advice on any noted anomalies or trends that could affect the processing of new claims and identify risks associated if any. Management and peers to provide daily interactions about any contentious matters and or report on urgent claims that require attention or authorization. Procurement Manager, to ensure that service providers strictly adhere to the current service level agreement. Claims Fulfilment Manager, to guide, assist, mentor and advise you of all matters that can assist you with your growth. Operations Manager, to guide, assist and advise you through your first line report, in line with your growth and any other communication in terms of your claims. Customer; provide exceptional customer experience throughout the customer journey and assist by providing professional peace of mind while dealing with queries or providing feedback proactively. Panel or non-panel service providers; relationships ensure professional customer service interaction, with loss adjusters, quantity surveyors, forensics experts, etc. and various specialists required to complete the successful claim. Sales Representatives to provide assistance and resolve customer issues. Internal and external auditors to provide assistance during interim or final company audits. It is critical that pride in the company's mission, vision, and values be taken seriously. It is critical that you take charge of your own personal development and career path. You must comply with and adhere to the organizations and regulatory boards' regulations and legislation. You must understand, support, and live the organization's Amazing Service Culture. Grade 12 Insurance related qualifications e.g. FETC : Short Term Insurance NQF 4, RE5 4 years Claims experience, preferably Homeowners / Building Claims experience. 5 years Short Term Claims Insurance related experience, preferably with Homeowners / Building experience. Building / Homeowners Claims and Customer Service orientated. Computer Literate, Excel, Word, Microsoft Outlook. Claims Management and effective ability to navigate systems. Understand and communicate technical matters analytically. Have excellent verbal and written communication skills. HR Services, Recruitment & Selection
Claims Fulfilment Consultant
A successful and large Homeloan and Insurance company requires the services of a Claims Fulfilment Consultant to join their team. The goal is to consistently exceed and practice customer expectations as governed by regulations on a regular basis and to drive timely settling of claims whilst applying risk management principles at consultant level.
Duties & Responsibilities
Processing
- Authorize claims within the set mandate and resolve all claims within the agreed productivity targets and turnaround times by utilizing the claims diary system effectively.
- Apply and effectively communicate technical skills and resolve all technical issues using available tools and systems.
- Demonstrate a clear understanding and execution of customer complaints and resolutions that must be maintained and exceeded, as well as a clear understanding of claim rejections.
- Demonstrate a clear understanding of the management of claims handling that must be followed within the regulated agreements as specified by the relevant regulatory boards.
- Ensure a clear understanding of all payments, the correct application of rates to be authorized to the service provider, and the correct appointment of service providers to the claims.
- Demonstrate a thorough understanding of the report and quotes to communicate prompt claims resolution to the customer.
- Have a clear understanding of how to operate a claims management system, as well as the use of relevant tools that can enable the quick resolution of a claim and ensure effective communication, such as using Outlook to send emails, SMS via grapevine, and exporting own reports to Excel.
- Have a working knowledge of the internet and how to use Google Maps.
Plan, Communicate, Solve Problems, And Carry Out Decisions Effectively.
Practice and Promote Consistent Effective Relationship Building
Internal
External
Values and Self-Development
The candidate should respond on technical aspects of the policy and be able to translate from reports and respond accurately to the customers accordingly.
Desired Experience & Qualification
Preferred Qualification :
Preferred Experience :
Package & Remuneration
R15k
#J-18808-Ljbffr
Create a job alert for this search
Consultant • Umhlanga Rocks, KwaZulu-Natal, South Africa
Related jobs
%20Ltd)
- Promoted
Claims Consultant R15 000 CTC
The Appointment FirmUmhlanga Rocks, KwaZulu-Natal, South Africa An opportunity has become available with an established financial institute based in La Lucia Durban, for a Claims Consultant.
Plan, Communicate, Solve Problems, And Carry Out Decisions Effectively....Show moreLast updated: 30+ days ago
- Promoted
Claims Fulfillment Consultant
Express Employment Professionals Durban NorthDurban, KwaZulu-Natal, South Africa Authorize claims within the set mandate and resolve all claims within the agreed productivity targets and turnaround times by utilizing the claims diary system effectively.Apply and effectively com...Show moreLast updated: 30+ days ago
- Promoted
Senior Customer Service Consultant
Tower GroupCato Ridge, South Africa Our client a leader in the steel industry is seeking a highly experienced.Senior Customer Service Consultant to join their team based in Cato ridge .
Bachelor's degree in Commercial or equivalent Di...Show moreLast updated: 30+ days ago
- Promoted
Affinity Claims Administrator
HC Recruit (Pty) LtdDurban, KwaZulu-Natal, South Africa DUR - Affinity Claims Administrator – Kloof, Kzn.To play a crucial role in receiving and processing technology-based claims from inception to repair or payout status.
Your responsibilities will inc...Show moreLast updated: 30+ days ago
- Promoted
Claims Consultant La Lucia
The Appointment FirmUmhlanga Rocks, KwaZulu-Natal, South Africa An opportunity has become available with an established financial institute based in La Lucia Durban, for a Claims Consultant.
Plan, communicate, solve problems, and carry out decisions effectively....Show moreLast updated: 30+ days ago
- Promoted
Claims Fulfillment Consultant
Pronel PersonnelDurban, KwaZulu-Natal, South Africa We pride ourselves on our superior customer experience to all our customers, whether internal or external, by applying the highest technical claims knowledge and systems understanding when resolvin...Show moreLast updated: 30+ days ago
- Promoted
Technical Claims Assessor
nedbankDurban, KwaZulu-Natal, South Africa Cluster : Personal and Private Banking | Nedbank Insurance | Operations - Long Term Insurance Claims.Please Note : Preference will be given to applicants from Underrepresented Groups.To accurately as...Show moreLast updated: 30+ days ago
- Promoted
Claims Assessor : Life
Pronel PersonnelDurban, KwaZulu-Natal, South Africa Claims Assessor (Life) - Job Description.Our client based in the Umhlanga area is seeking an experienced Claims Assessor (Life).
The ideal candidate should have exceptional communication skills, wor...Show moreLast updated: 30+ days ago
- Promoted
Risk, Compliance & Governance Specialist
Bright City TalentLa Lucia, South Africa Performance and Governance Specialist.Global Mobility (GM) program and is responsible for overseeing the performance metrics and governance frameworks of the global mobility program.This role ensur...Show moreLast updated: 30+ days ago
- Promoted
Technical Claims Assessor
Nedbank Private WealthDurban, KwaZulu-Natal, South Africa TA Specialist : Refilwe Falatsi.Cluster : Personal and Private Banking Nedbank Insurance Operations - Long Term Insurance Claims.
Please Note : Preference will be given to applicants from Underrepresen...Show moreLast updated: 30+ days ago
- Promoted
Claims Administrator
Dante PersonnelHatfield Surroundings, South Africa Strong administrative and organisational skills.Excellent communication and relationship-building abilities.Ability to work under pressure and meet deadlines.
Experience in claims processing will be...Show moreLast updated: 10 days ago
- Promoted
Claims Fulfillment Consultant
Future CareersDurban, KwaZulu-Natal, South Africa The following directly centers around which your daily obligations revolve : .Authorize claims within the set mandate and resolve all claims within the agreed productivity targets and turnaround time...Show moreLast updated: 30+ days ago
- Promoted
Sales Consultant - Short Term Insurance : Advisory (Mount Edgecombe)
Telesure Investment HoldingsDurban, ZA Job title : Sales Consultant - Short Term Insurance : Advisory (Mount Edgecombe).Job Location : KwaZulu-Natal, Durban.Inbound or outbound policy sales, based on leads and campaigns.Initiate the cust...Show moreLast updated: 2 days ago
- Promoted
Gap Claims Operations Team Leader
KaeloDurban, KwaZulu-Natal, South Africa Kaelo provides essential healthcare solutions ensuring the physical and psychosocial wellbeing of all South Africans towards lasting social change.
Kaelo meets the Healthcare needs of Corporate and ...Show moreLast updated: 27 days ago
- Promoted
Motor Claims Consultant | Kloof
The Recruitment CouncilKloof, KwaZulu-Natal, South Africa Primary purpose of the position : .Join an esteemed Financial Services company, who’s on the hunt for a Motor Claims Consultant.
You will need to ensure that the expectations of existing insurance cli...Show moreLast updated: 30+ days ago
- Promoted
CLAIMS HANDLER & PROCESS OWNER
Indian Ocean Export CompanyDurban, South Africa Indian Ocean Export Company (IOEC) is seeking a.Claims Handler and Process Owner (CHPO).FMCG Export Shipping environment inclusive of perishables, requiring experience in cold-chain integrity and s...Show moreLast updated: 30+ days ago
- Promoted
Senior Inbound Consultant
Tower GroupWestville, South Africa Our client, a leader in the travel and Tourism industry is URGENTLY seeking an experienced Senior Inbound Consultant to join their team based in Durban.
DMC or tour operating environment.Comprehensi...Show moreLast updated: 28 days ago
- Promoted
Broker Claims Administrator
HC Recruit (Pty) LtdDurban, KwaZulu-Natal, South Africa DUR LB – Broker Claims Administrator.To engage with external customer’s brokers and suppliers with regards to tracking and processing of insurance claims & other related administration.Matric / Grade...Show moreLast updated: 30+ days ago