Role Purpose

To provide stakeholders (e.g. clients, account executives) with efficient claims advice and administration according to the required standards and procedures in support of the business strategy. 

Financial:

• Ensure appropriate minimisation of claims and claims expenses 
• Ensure and contribute to minimisation of general expenses 

Client:

• Ensure that all stakeholder (e.g. clients, AE’s, insurers) communication is accurate, timeous, professional and relevant 
• Build and maintain mutually beneficial relationships with internal (e.g. account executives) and external (e.g. clients) stakeholders 
• Keep client informed regarding to progression of the claim 
• Ensure and contribute to achieving the required client satisfaction targets

Business Processes:

• Adhere to company quality standards and broader regulatory frameworks wrt the following processes (but not limited to): 

Claims Administration

• Receive claims notification, and send and obtain any relevant forms or documents as may be required 
• Administer complete claims process according to defined claims procedures until claims are settled 
• Appoint assessor or loss adjustor  
• Apply policy terms and conditions 
• Keep internal system and records up to date at all times 
• Keep relevant internal stakeholders up to date on the progress of registered claims 
• Make assessment of claims validity and estimate value and administer mandated claims 
• Forward claims in excess of mandate to insurer  
• Obtain quotes for services 
• Arrange approval and payment for claims costs in line with claims and cover 
• Act as intermediary between insurer and client and timeously relay communication, requests and documentation 
• Follow the recoveries process, diarise follow-ups and keep clients informed 
• Ensure productivity targets are met 
• Contribute towards and ensure continuous improvement in own and team performance 
• Adhere to company mandates 
• Participate and contribute in ad hoc projects 
• Report any suspected fraud, misrepresentation and/or dishonesty 
• Keep accurate record of own activities 

Learning and Growth:

• Live the RBS values by committing to the organisational values 
• Ensure continuous self-development 
• Share information and knowledge with the team

Requirements

Minimum Qualifications and Skills:

• Matric or equivalent 
• RE 5 
• FAIS appropriate qualification/credits 
• Computer literate 
• CIMS – advantageous 
• Excellent communication skills (verbal & written) 

Minimum Experience:

• 3 years claims experience (Personal Lines and Commercial)