Wednesday, 11 April 2018

Claims Consultant - Alexander Forbes


Introduction...

Alexander Forbes is seeking a Claims Consultant to process claims by providing excellent service to clients and through this retain the client and improve the company’s image so that we attract more clients.

Minimum Requirements...

Formal Qualifications
Matric
COP/FAIS personal lines credits

Required Experience

2 years claims experience - motor and household

Other requirements

Bilingual
Computer literate
Customer Service experience

Job Specification...

Provide Client Service and Communication services
Adhere to the guidelines outlines in the communication charter.
Respond to client e-mails within set turnaround times
Return phone message within set turnaround times
Maintain client relations by being proactive and keeping clients informed
Perform effective time management
Utilize a diary system to track follow ups

Process Claims

Process the required number of claims as set out in performance agreement
Load all claims within set timeframes
Follow guidelines and time frames set out in the service charter in all processes
Make decisions and authorize payment of claims up to the authority value specified by company policy and procedures.
Contain or reduce claim costs where ever possible by appointing assessors to assess the damage, putting pressure on panel beaters to reduce variable costs
Load estimates onto the matrix timeously
Escalate claims exceeding a specified value as per company policy and procedure to senior management within set time frames
Prepare files for rejection committee
Inform regional management and the client before handing rejection files over to the senior claims consultant for further processing
Monitor that suppliers are paid timeously.


Resolve queries and complaints

Resolve clients complaints and queries in line with company policies and procedures
Identify potentially major problems and inform management of these risks
Request assistance from management when necessary to advise on how to resolve a specific claim/problem
Empower self proactively to better handle complaints and queries, through asking for assistance, obtaining knowledge and seeking out mentoring opportunities
Maintain the required service level ratings through the 30x30 customer surveys to ensure efficient customer service

Work in teams

Foster productive working relationships with the team
Work together to ensure fair distribution of the workload
Assist colleagues as far as possible to ensure KPA for the team are achieved
Contribute positively to the teams working environment
Identify opportunities to improve the team's performance

Generate reports

Submit weekly outstanding desk reports to the team leaders
Submit monthly open claims reports within set timeframes
Request monthly open claims report from the senior claims consultant and work through these daily to ensure accuracy of estimates and finalization of files wherever possible.

TCF

Fulfil his/her duties in such a manner that the relevant TCF outcomes are delivered
Constructively speaks up about any TCF short-coming in any part of the business
Quickly owns up to any mistakes or oversights he/she may be party to that may have negative TCF consequences

How to apply for this:



Closing date: 27-04-2018

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