Merits Claims Service Consultant (JG 10) needed at Santam Insurance

JOB DESCRIPTION

• The purpose of this position is for the processing and claims administration end to end on assigned claims and also responsible for co-ordinating and overseeing all actions on claims in the Merit Motor channel.
• The CSC will ensure that the claim is validated and applicable assessors are appointed through engaging with the relevant stakeholders once the claim is assessment ready.

KEY RESPONSIBILITIES

• Manage workload and instructions from all systems 
• Ensure completeness and correctness of documents.
• Responsible for all actions to get claim assessment ready.
• Contact client or intermediary telephonically/email for any identified outstanding information.
• Handle complaints, queries and all interaction with clients, Intermediaries, Service Providers, internal stakeholders, Relationship Managers, Claims Committee and Underwriters.
• Process payments and orders as per Assessor recommendation and instruction
• Responsible for arrange and manage car hire requests and extensions
• Various other duties as the role may require

QUAILIFICATIONS & EXPERIENCE

• Matric
• Fully computer literate (MS Office)
• Minimum 5 years’ claims experience
• Any previous claims handling, pre-support and or post support experience is advantageous
• Customer service -interaction with role players in the motor industry
• Knowledge of Abuntex, BPM, Claim Centre and Codeplex will be an advantage

SKILLS

• Ability to verify and interpret policy and appraisal detail
• Telephonic skills
• Ability to handle conflict and negotiate
• Basic business ethics
• Communication skills to effectively communicate with all role-players
• Working with people
• Planning, organising and co-ordinating
• Coping with pressure and setbacks (resilience)
• Positive attitude
• Time management abilities
• Problem solving skills