Claims Processing Consultant wanted: APPLY HERE
The Claims Processing Consultant contributes to the organisational goals by processing already-captured claims efficiently and accurately through drawing on the relevant criteria to ensure standardisation across the organisation to enable decision making on a claim.
Job Functions Call Centre Industries Financial Services,Insurance Specification
Use appropriate tools (ITC, supplier contract and/or negotiation) to accurately cost applicable claims on a
day to day basis.
Make decisions according to established criteria to ensure standardisation across the organisation by
accurately administrating and underwriting claims.
Remain up to date current and new product knowledge to enable effective decision making.
Ensure claims are finalised within the set parameters (turnaround time, terms and conditions applied
Ensure regular feedback to services department and other stakeholders, as determined by the company
and/or customer requirements to ensure customer receives appropriate feedback from the services
Deliver the Telesure Service Way through personal effort and through others
Deliver on Treating Customers Fairly principles in alignment with regulatory requirements
Do validation checks
Complete TTDs and requests
Refer to LA
Handle enquiries on existing claims (internal)
Load and action 15 minute messages
Arrange to collect salvage – Non-Motor (after reports)
Arrange to collect salvage – Motor (drivable non financed)
Listen and transcribe convos
Finalise claims and send to services
Issue repair / replace vouchers
Correct costing on invoice
Grade 12 (Standard 10) with University Entrance (NQF4)
Relevant FAIS Qualification
1 to 3 years Claims Experience
At least 2-3 years’ experience in a Customer Service environment
Degree/Diploma related to Financial Industry
Call Centre Experience
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