Claims Agent Insurance at Innovation Group South Africa

Job Description    

• To engage with claimant and /or service provider to request basic information needed in order to process claim - includes written correspondence and phone calls. Evaluate claims based on documentation received including responses from claimant and providers.

Minimum requirements

• A Matric Certificate or Equivalent NQF Level 4 Qualification
• RE 5
• FAIS Qualification
• A minimum of 2 - 3 years' experience working in a claims environment
• A minimum of 6 month short term Insurance Claims experience
• At least 1 year Call Centre experience

Key Responsibilities  

• Communicate with internal and external clients in a professional manner.
• Ask correct questions and gain necessary information to process the claim or advise the client accordingly.
• If required, refer to independent Assessor or Investigator
• Capture claim on the system
• Coordinate with the Owner, Assessor and other stakeholders.
• Ensure that SLA's are met within the call centre
• Ensure departmental adherence to company policies and procedures.
• Operate within approved claims authority at all times.
• Ensure that the Divisional activities are coherent with Treating Customers Fairly operational deliverables of Claims and Policy Administration.