Job Purpose
To recover damages from the insured third parties following losses suffered by the customers and negotiate the reduction of claims cost and retention of the customers.
Responsibilities
Settlement Negotiation
Utilising your expertise to successfully negotiate the appropriate settlement with third party insurers/representatives in accordance with the relevant law and standard operating procedures and make relevant recommendations to senior colleague(s).
Payment Management
Effectively manage payments from third party insurers/representatives.
Investigation and Analysis
Identify, gather relevant information, analyse and Investigate the merits of the claims in accordance with standard operating procedures and regulatory laws.
Determine and decide the feasibility of the on-going recovery process, after assessment of various factors, in order to reduce all costs related to the recovery.
Customer Management
Manage short term insurance customer (policy holder) relationships and expectations by using relevant operating system(s). Review, verify and update the customer claims in accordance with standard operating procedures. Ensure that upon successful recovery that customer excesses are refunded timeously and in accordance with standard operating procedures.
Document Preparation
Prepare an appropriate letter of demand to the third party insurers/representatives in accordance with the standard operating procedure. Produce accurate evidentiary reports for submission to third parties.
Correspondence
Respond to routine requests using form letters or emails and to more unusual requests by editing templates to create customised responses.
Continuous Development
Ensure up-to-date knowledge of company products, systems and procedures. Develop and maintain an understanding of relevant external regulation, and industry best practices through ongoing education.
Governance
Understand and manage SLA timeframes and legislative prescriptive timeframes with the third party insurers/ representatives and act timeously to resolve problems.
Work Scheduling and Allocation
Organise own work schedule in order to get the job done, coordinating with support services and assigning short-term tasks to others if necessary.
Education
LLB degree or a Diploma in the legal field (Essential)
Experience
2-3 years legal recoveries experience (essential)
Experience in the short term insurance environment ( advantageous).
Telesure Investment Holdings (Pty) Ltd (TIH) is the holding company of some of South Africa’s leading and innovative financial institutions.
These financial institutions are licensed to provide financial products and/or services ranging from short-term, long-term and health insurance as well as a comparison and investment platforms.
Our origins go back to 1 June 1985, when Auto & General Insurance was launched into the South African market. We have since grown into a group of subsidiaries of which Auto & General now forms a part.
Today, we own some of South Africa’s most loved and recognisable brands, each finding a better way to give their unique group of customers peace of mind.
We exist to continuously find better ways to give people peace of mind, whether it is to protect what they own, their loved ones or their greater ambitions and life plans they’re working so hard for.
We’re proven pioneers with a hunger for doing and being the best we can, bringing customer-focused innovation and service excellence to the financial services industry.
We’re an undivided team of diverse thinkers and doers who believe in leading through technology and pushing past their limits.
TIH is a licensed controlling company.
