Job Purpose
The Third Party Liabilities Consultant is required to conduct negotiations and administration with insurance companies to process third party claims against clients, and thoroughly investigate quantum and merits.
Responsibilities
Data Collection & Analysis
Collate and analyse data using pre-set tools, methods and formats to investigate claims. Involves working independently. Ensure all data is captured and assessed fully and accurately.
Administration
Produce, update and provide best practice support to customers on the claims administration process and other departmental systems, in line with claims policy, rules and SOP's. Ensure cost saving for business through effective apportionment of third party claim.
Customer Service
Carry out a range of customer service activities, including handling customer cases and enquiries that are more complex or outside the norm. Ensure regular feedback is given to clients and third party.
Work Scheduling
Organise own work schedule in order to get the job done, coordinating with support services and completed work within SOP.
Correspondence
Prepare tailored correspondence to clients, and third party claimants and stakeholders. Maintain and improve client relationships. Build effective working relationships with third parties (incl. insurance companies) and Attorneys. Build and maintain effective working relationships within TIH (Claims, Assessing, Policy Services and Legal Department).
Document Management
Create, organise and maintain files containing the correspondence and records of a senior colleague.
Document Preparation
Prepare moderately complex documents using a variety of computer applications such as Microsoft Office. Also responsible for gathering and summarising data for reports. Prepare and manage claim documentation for customers.
Personal Capability Building
Develop and maintain excellent process or technical skills by participating in assessment and development planning activities as well as formal and informal training and coaching. Ensure up-to-date knowledge of company products, systems and procedures.
Operational Compliance
Develop knowledge and understanding of the organisation's policies and procedures and of relevant regulatory codes and codes of conduct to ensure own work adheres to those standards. Obtain authorisation from a supervisor or manager for any exceptions from mandatory procedure. Ensure fast, efficient and fair settlement procedures are followed. Assure all work meets technical / operations standards for quality.
Education
Grade 12/ SAQA Accredited Equivalent (Essential); STI Qualification (Advantageous); LLB/Legal Certificate (Advantageous)
Experience
1- 3 or more years Claims Experience (Essential); 3 or more years’ experience in insurance / financial / legal environment (Essential); Experience in call centre environment (Essential).
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.
