Claims Binder Auditor - Sandton at Momentum Metropolitan Holdings Limited

Role Purpose    

• Audit and monitor Binder Agreements as per audit programme. 

Requirements    

• Matric
• FAIS compliant
• An insurance/ relevant qualification
• At least 5-10 years relevant working experience, with some supervisory functions
• A comprehensive understanding of multiple short term insurance products
• A comprehensive understanding of standard and non-standard insurance facilities, with specific focus on aggregates and related facilities
• Sound knowledge of Commercial, Fleet and Corporate type claims

Duties & Responsibilities    

• Audit and monitor all functions in terms of agreements including monthly reports, float recons and bordereaux requests.
• Follow up on audit findings and ensure that findings are actioned promptly and all issues closed
• Ensure communication and alignment of broker responsibilities with all impacted stakeholders.
• Ensure mandate is set and adhered to by the party to whom responsibilities are delegated
• Identify, track and remedy claims leakage at the respective delegated parties
• Provide quality assurance oversight into all claims 
• Assess accuracy and quality of usage of the claims system
• Recommend enhancements to the system
• Assess on an ongoing basis process efficiencies in the claims space and recommending solutions to the management team where deficiencies are detected
• Conduct random reviews to assess capacity and competency
• Implement generally accepted audit methodology within the quality assurance program

Competencies    

• Business acumen 
• Customer orientated 
• Attention to detail 
• Analytical 
• sound organisational, planning and communication skills