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  • Posted: May 7, 2024
    Deadline: Not specified
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    In 1988 Risk Benefit Solutions (RBS) started out as a small proprietorship. A little over 20 years on - it’s now one of the largest fully fledged financial services advisory firms in southern Africa. Our services cover a broad spectrum of needs including Insurance Broking, Risk Management, Corporate Risk Advisors, Employee Benefit Administrators and Co...
    Read more about this company

     

    Claims Consultant - Port Elizabeth

    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 claims experience (Personal Lines and Commercial) 

    go to method of application »

    Commercial Underwriter - Bedfordview

    Role Purpose

    • Provide stakeholders with effective and efficient commercial lines underwriting services according to the required standards and procedures in order to retain existing clients and secure new business in support of the business strategy. 

    Financial:

    • Take appropriate action to minimise cancellations 
    • Ensure retention targets are met 

    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 and external stakeholders 
    • Ensure and contribute to achieving own and company required client satisfaction targets 

    Business Processes:

    Adhere to company quality standards, process and broader regulatory frameworks wrt the following processes (but not limited to): 

    • General Enquiries such as but not limited to cover, products, processes etc 
    • New Business, Renewals, Endorsements and Re-broke 
    • Cancellations
    • Ensure productivity targets are met 
    • Adhere to company mandates 
    • Participate and contribute in ad hoc projects 
    • Keep accurate record of own activities

    Learning and Growth:

    • Live the RBS values 
    • Ensure continuous self-development 
    • Ensure objectives of own development plans are achieved 
    • Ensure productivity and quality assurance targets are met 

    Requirements

    Minimum Qualifications and Skills:

    • RE5 
    • FAIS Compliant (credits and/or full qualification) 
    • Excellent communication skills 
    • Excellent customer services skills
    • Attention to detail

    Minimum Experience:

    • a minimum of 3 years’ experience as a Commercial Lines Underwriter (medium to large Commercial)
    • a minimum of 3 years experience at a Short Term insurance brokerage

    go to method of application »

    Personal Lines Underwriting and Claims Manager - Cape Town CBD

    Financial Responsibilities:

    • Take proactive measures to minimize policy cancellations.
    • Meet retention targets by implementing effective underwriting and claims management strategies.
    • Ensure efficient handling of claims to minimize expenses.
    • Contribute to reducing general expenses within the department.

    Client Management:

    • Ensure all communications with stakeholders (insurers, account executives, clients) are accurate, timely, and professional.
    • Cultivate and sustain mutually beneficial relationships with internal and external stakeholders.
    • Achieve and maintain high levels of client satisfaction as per company standards.

    Business Process:

    • Lead and manage a team of underwriters and claims professionals, providing guidance, support, and mentorship.
    • Manage the Personal Lines Underwriting process, ensuring adherence to company guidelines and regulatory requirements.
    • Assess and evaluate risk factors for personal lines policies.
    • Develop and implement underwriting strategies to optimize risk assessment and pricing.
    • Collaborate with underwriting team to ensure consistency and accuracy in underwriting decisions.
    • Provide guidance and support to underwriters on complex cases and risk assessment.
    • Oversee the end-to-end claim process, ensuring efficiency, accuracy, and compliance with regulatory requirements.
    • Process claims and recoveries within specified parameters.
    • Resolve complaints promptly and within prescribed timelines.
    • Meet service level agreements consistently.
    • Address performance issues and implement corrective actions as needed.
    • Encourage a culture of continuous improvement and innovation within the team.
    • Set clear objectives and performance expectations for team members, monitoring progress and providing feedback regularly.
    • Foster a collaborative and inclusive team environment, promoting teamwork and knowledge sharing.
    • Conduct regular team meetings to communicate goals, initiatives, and updates.
    • Provide coaching and development opportunities to enhance team members' skills and competencies.
    • Manage workload distribution and resource allocation within the team to ensure efficiency and productivity.

    Learning and Growth:

    • Embody and promote the values of the company.
    • Commit to continuous self-development.
    • Share information and knowledge with the team.
    • Provide ongoing training, coaching, and mentoring to direct reports.
    • Conduct performance management assessments for direct reports.

    Requirements

    Minimum Qualifications & Skills:

    • Matric or equivalent qualification.
    • RE5 certification.
    • FAIS Compliance (credits and/or full qualification).
    • Proficiency in computer literacy.
    • Excellent communication skills.
       

    Experience:

    • Minimum of 5 years of experience in short-term insurance persona Lines and claims
    • Minimum of 2 years of experience in a similar role (Management/Team Leader)

    Method of Application

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