Job Purpose

• The Third Party Liabilities Consultant is required to administer third party claims against clients, and thoroughly investigate quantum and merits.

Responsibilities

• Data Collection & Analysis
• Collate and analyse data using pre-set tools, methods and formats to investigate claims. Involves working independently. Ensure all data is captured and assessed fully and accurately.
• Administration
• Produce, update and provide best practice support to customers on the claims administration process and other departmental systems, in line with claims policy, rules and SOP’s. Ensure cost saving for business through effective apportionment of third party claim.
• Customer Service
• Carry out a range of customer service activities, including handling customer cases and enquiries that are more complex or outside the norm. Ensure regular feedback is given to clients (third party).
• Work Scheduling
• Organise own work schedule in order to get the job done, coordinating with support services and completed work within SOP.
• Correspondence
• Prepare tailored correspondence to third party claimants and stakeholders. Maintain and improve client relationships. Build effective working relationships with third parties (incl. insurance companies) and Attorneys. Build and maintain effective working relationships within TIH (Claims, Assessing, Policy Services and Legal Department).
• Document Management
• Create, organise and maintain files containing the correspondence relating to policies and matters.
• Document Preparation
• Prepare and manage claim documentation for customers.
• Personal Capability Building
• Develop and maintain excellent process or technical skills by participating in assessment and development planning activities as well as formal and informal training and coaching. Ensure up-to-date knowledge of company products, systems and procedures.
• Operational Compliance
• Develop knowledge and understanding of the organisation’s policies and procedures and of relevant regulatory codes and codes of conduct to ensure own work adheres to those standards. Obtain authorisation from a supervisor or manager for any exceptions from mandatory procedure. Ensure fast, efficient and fair settlement procedures are followed. Assure all work meets technical / operations standards for quality.

Education

• Grade 12/ SAQA Accredited Equivalent (Essential); STI Qualification (Advantageous); LLB/Legal Certificate (Advantageous)

Experience

• 1 to 3 years Claims Experience (Essential); 1 or more years’ experience in experience in insurance / financial / legal environment (Essential);  Experience in call centre environment (Advantageous).