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  • Posted: Sep 3, 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 - Bedfordview

    Key responsibilities:

     Financial

    • Ensure appropriate minimization of claims and claims expenses.
    • Contribute to the minimization of general expenses.

    Client

    • Ensure accurate, timely, professional, and relevant communication with stakeholders (clients, AE’s, insurers).
    • Build and maintain mutually beneficial relationships with internal (account executives) and external (clients) stakeholders.
    • Keep clients informed regarding the progression of the claim.
    • 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):

    • Receive claims notification and send and obtain any relevant forms or documents as may be required.
    • Administer the complete claims process according to defined claims procedures until claims are settled.
    • Appoint assessor or loss adjuster.
    • Apply policy terms and conditions.
    • Keep internal systems 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 an intermediary between insurer and client and timeously relay communication, requests, and documentation.
    • Follow the recoveries process, diarize 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 to ad hoc projects.
    • Report any suspected fraud, misrepresentation, and/or dishonesty.
    • Keep an accurate record of own activities.

    Learning and Growth

    • Live the RBS values by committing to the organizational values.
    • Ensure continuous self-development.
    • Share information and knowledge with the team.

    Requirements

    Minimum experience, qualification, and skills:

    • Minimum of 3 years of claims experience in either Commercial and Corporate Claims.
    • Minimum of 3 years of claims experience in a brokerage, is essential.
    • Matric or equivalent.
    • RE 5.
    • FAIS appropriate qualification/credits.
    • Computer literate.
    • CIMS - advantageous.
    • Excellent communication skills (verbal & written).

    Method of Application

    Interested and qualified? Go to RBS on rbs.mcidirecthire.com to apply

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