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 ExperiencePreferred
Health Insurance Industry ExperienceEducation, Qualifications and Accreditation with Professional Body
Required
MatricFAIS / RE5Preferred
FAIS / RE5 Accreditation with minimum 120 creditsTechnical Skills or Knowledge
Required
Computer Literate incl. Microsoft AccessAdditional Information
AccountabilityAction orientatedCollaborativeCommunicationBusiness writing skillsManage complexityProblem solving skillsDecision thinkingEncourages engagementResilient and adaptiveResourcefulDemonstrates self-awarenessPurpose drivenSignificance and values orientated#J-18808-Ljbffr