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Gap Claims Specialist

Gap Claims Specialist

KaeloKwaZulu-Natal, South Africa
6 days ago
Job description

Overview

The Claims Specialist manages the assessment of claims and has specialised knowledge of the claims environment. There is a strong focus on accurately and efficiently resolving the claim received whilst ensuring exceptional customer service and satisfaction

Key Outcomes

  • The accurate and efficient processing of claims captured
  • Ad hoc duties- support in the operation of other divisions
  • Contribute towards continuous improvement and innovation at process and procedure level
  • To ensure that all claims processing and queries are attended to accurately and within the agreed turnaround time
  • Contribute toward risk management
  • Assist clients with queries and provide suitable query resolution
  • Accurate completion of administrative targets on a daily basis
  • Dealing with multiple telephonic queries from members, brokers and franchises
  • Ongoing feedback to clients
  • Ad hoc functions as required by Management

Qualifications

Required

  • Insurance Industry Experience
  • Preferred

  • Health Insurance Industry Experience
  • Education, Qualifications and Accreditation with Professional Body

    Required

  • Matric
  • FAIS / RE5
  • Preferred

  • FAIS / RE5 Accreditation with minimum 120 credits
  • Technical Skills or Knowledge

    Required

  • Computer Literate incl. Microsoft Access
  • Additional Information

  • Accountability
  • Action orientated
  • Collaborative
  • Communication
  • Business writing skills
  • Manage complexity
  • Problem solving skills
  • Decision thinking
  • Encourages engagement
  • Resilient and adaptive
  • Resourceful
  • Demonstrates self-awareness
  • Purpose driven
  • Significance and values orientated
  • #J-18808-Ljbffr

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    Specialist • KwaZulu-Natal, South Africa

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