Job Purpose

• Process already-captured claims efficiently and accurately through drawing on the relevant criteria to ensure standardization across the organisation to enable decision making on a claim.

Responsibilities

• Prepare insurance claim forms or related documents and review them for completeness.
• Enter claims information into database systems.
• Pay small claims.
• Calculate quantum amount of claim.
• Post or attach information to claim file.
• Transmit claims for further investigation.
• Contact insured or other involved persons to obtain missing information.
• Review insurance policy to determine coverage.
• Organise or work with detailed office records, using computers to enter, access, search or retrieve data.
• Provide customer service, such as limited instructions on proceeding with claimsor referrals to auto repair facilities or local contractors.
• Finalise claims and communicate the outcome to the customer
• Listen and transcribe client conversations
• Request Client Conversation
• Retrieve Client Conversation
• Issue repair / replace vouchers
• Load and action 15 minute messages
• Complete Things To Do (TTD’s) and requests
• Refer to Loss Adjuster when required
• Arrange to collect salvage – Non-Motor where applicable
• Arrange to collect salvage – Motor where applicable

Education

• Matric / Grade 12/ SAQA Accredited Equivalent (Essential); Skills development training accreditation (Advantageous).

Experience

• 1 or more years’ Financial Services industry experience (Essential); Call Centre Experience (Essential); STI experience (Advantageous); 1 or more years’ Claims Experience (Advantageous); At least 2-3 years’ experience in a Customer Service environment  (Advantageous).