Purpose of the role:
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.
PERSPECTIVE OUTPUTS
Ensure appropriate minimisation of claims and claims expenses Ensure and contribute to minimisation of general expenses
Ensure that all stakeholder (e.g. clients, 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, diaries 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
Ithemba Recruitment is an organisation that specializes in the placement of quality candidates in various industries.
We at Ithemba recruitment are “specialist generalists” we have the understanding that the we are able to recruit for a wide range of positions in various job functions that clients may require because we prefer to be seen as specialists for our clients needs and culture rather than specialists in a specific sector.
We feel that any position can be qualified by the correct understanding of people rather than what field they work in. We feel that by communicating effectively with candidates and having respect for their needs, requirements and time – we are able to form relationships and properly understand our candidates and the culture that they would fit into so as to service our clients’ needs more effectively. You could possibly classify us as “Versatilist”.
Whether you are in need of a new member of staff or as we like to call it "a new family member" or if you are in search of a new opportunity our consultants are ready to take your call.
