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Senior Claims Consultant – Cape Town CBD needed at RBS

Job title : Senior Claims Consultant – Cape Town CBD

Job Location : Western Cape, Cape Town

Deadline : April 08, 2024

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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 commercial claims experience

How to Apply for this Offer

Interested and Qualified candidates should Click here to Apply Now

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