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  • Posted: Jun 18, 2024
    Deadline: Not specified
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    Setting the benchmark in unique solutions for brokers, insurers and policyholders. Brolink is a leader in claims and ancillary services, outsourcing to a diverse selection of portfolios. Brolink was established in 1994 with the specific purpose of assisting short-term insurance brokers and affording them more time to market their services to prospective cli...
    Read more about this company

     

    Commercial Claims Consultant

    Duties and Responsibilities:

    •   Capturing of all new claim where applicable.
    •   Capturing of new claims with Insurer(s) where applicable.
    •   One point of contact for the client/broker and adherence to first call resolution.
    •   Delivering of exceptional client service that exceeds customers’ expectations through proactive, innovative and appropriate claims handling.
    •   Ensuring that customer claims are handled efficiently.
    •   Verifying FNOL data and/or documentation provided to ensure correct settlements of claims.
    •   Attending to validation and first call actions on all claims within 1 working hour after registration.
    •   Achieving minimum targets where applicable.
    •   Maintaining appropriate diaries and messages on the operating system.
    •   Client input and communication is an integral part at the start of the entire claims value chain, ensuring that complete and accurate data/documentation is obtained and captured. This determines the direction of the claim to the entire claims value chain.
    •   Effectively maintaining oversight of all relevant claims tasks and managing the claims handling process to achieve timely settlement and to minimise inaccuracies.
    •   Identifying, investigating and resolving any issues relating to claims being handled in line with claims policies and procedures such as SLAs and TAT.
    •   Accurately checking/determining whether appropriate cover is in place, interpreting of policy wordings and conditions to determine the validity of claims and advising the broker/policyholder accordingly.
    •   Identifying potential non-disclosure and misrepresentation cases and following Insurer’s procedures to deal with these situations.
    •   Identifying any red flags on claims which are potentially fraudulent and following Insurer procedures for dealing with these.
    •   Identifying when a specialist is needed to investigate a claim and following Insurers policies and procedures for appointing these.
    •   Identifying possible recovery and third-party claims and linking the claims to the legal department upon registration.
    •   Negotiating effectively within agreed mandate limits using an appropriate negotiation style.
    •   Being familiar with the Insurers estimate philosophy and applying them accordingly.
    •   Adhering to Brolink’ s guidelines for referral of claims to management (e.g. large losses)
    •   Selecting and appointing external experts/vendors following Insurer’s procedures and authority levels.
    •   Utilising preferred service suppliers when dispatching service to clients in line with BBEEE targets e.g. Spend direction tools.
    •   Assisting with emergencies and afterhours processes for outsourced business.
    •   Minimizing cash settlements vs utilization of preferred suppliers for settlement by managing the percentage of cash versus quantum.
    •   Demonstrating an effective communication style, that motivates, across internal and external teams and individuals that may become involved with claim tasks.
    •   Salvage collection and management of timelines on salvage claims.
    •   Meeting of set deadlines.
    •   Validating claims according to the department structure.
    •   Delivering strategic results in term of the Brolink Vision and Mission.
    •   Attending of weekly team meetings, participation on one-on-one discussion and other meetings required from time to time.
    •   Aligning own behaviour with the organisation culture and values.
    •   Demonstrating commitment toward the team and participate in building team culture.
    •   Collaborating and working closely with all role players thereby leveraging constructive team dynamics and innovation.
    •   Identifying and recommending areas/ways to improve processes.
    •   Proactively ensuring the most effective use of time, resources, money, materials or equipment in line with policies and procedures.
    •   Complying with corporate governance policies, procedures and standards.
    •   Proactively suggesting improvements in customer services where applicable.
    •   Building relationships with all stakeholders, including brokers and service providers, to best support the company shared goal to achieve profit.
    •   Managing own development to increase own competencies.
    •   Adhering to the company policies and procedures and contracted performance agreement.

    QUALIFICATIONS AND EXPERIENCE
    Qualifications
    Minimum Requirements:

    •  Matric is an essential requirement
    •  FAIS Credits (as per FAIS requirement)
    •  Must be Fit & Proper in terms of the FAIS Act
    •  Regulatory Exam: Representatives
    • Must not be debarred with FSB
    • Work Experience

    Minimum Requirements:

    •  2 – 5 years’ experience: Commercial lines claims experience with all types of Motor and Non-Motor claims.
    •  Full function claims administration (registration of claim, appoint assessors, read assessors report, make decision on claim up to payment of claim)
    •  Experience in the financial services industry or short-term insurance industry

    TECHNICAL COMPETENCIES
    Minimum Requirements:

    •  PC literate – Microsoft Office products skills (Outlook, Word, Excel)
    •  Good typing skills (accuracy & speed)
    •  Sound knowledge of Insurance principles
    •  Websure system experience will be an advantage, but not a requirement.

    ATTRIBUTES

    • Attributes required for the position include but are not limited to:
    •  Positive
    •  Planning, organising, follow up (time management)
    •  Stress tolerance, resilience
    •  Client service orientation
    •  Attention to detail.
    •  Sound interpersonal and communication skills with the ability to relate at all levels
    •  Telephone etiquette
    •  Decision-making skills (with regards to claims)
    •  Excellent communication skills (verbal, listening skills and written)

    go to method of application »

    Product Owner: Loyalty Analytics

    CAREER OPPORTUNITY
    An exciting opportunity has arisen for a Product Owner to join our Risk and Marketing Department. We are looking for a product owner who is technically strong, loves working with and influencing people and easily enables stakeholders to manage their own expectations. The product owner will manage the Websure vision and prioritisation of the backlog with one of our customer pods. The role is based in Centurion.

    JOB DESCRIPTION
    Duties and Responsibilities:

    •  Build relationships with key employees among customers and internal stakeholders
    •  Developing and adapting the Websure vision with our customers
    •  Defining, refining and splitting user stories
    •  Specifying acceptance criteria
    •  Grooming and prioritising the backlog
    •  Collaborating with other product owners and managers for strategic alignment on Websure changes
    •  Regular engagement with stakeholders
    •  Strategic reporting on project progress
    •  Measuring and providing feedback to the company about the progress
    •  Learning about and upskilling Brolink on Agile
    •  Help our customer and pod focus on defining and delivering on the Minimal Viable Product
    •  Ensuring continuous improvement within the customer pod
    •   Obtaining and providing regular feedback

    QUALIFICATIONS AND EXPERIENCE
    Qualification
    Minimum Requirements:

    •  Matric;
    •  Post-matric education with subjects related to IT, project management and business
    • Preferred qualifications:
    •  Formal qualification in project management, e.g. PMI;
    •  University education with business-related subjects;
    •  Certificate of Competence (Short-term insurance) or better

    Work Experience
    Minimum Requirements:

    •  10 years working experience in financial services in a role that includes regular interaction between IT and business
    • Preferably, in addition to the above:
    •  Working experience in the short-term insurance industry;
    •  Hands-on experience in JIRA or similar Agile tools

    TECHNICAL COMPETENCIES
    Minimum Requirements:

    •  Good appreciation of information technology concepts;
    •  In-depth understanding of the various phases in a software development life cycle
    •  In-depth understanding of transaction processing systems in the financial sector
    • Preferably, in addition to the above:
    •  In-depth understanding of insurance systems

    ATTRIBUTES

    Attributes required for the position include but are not limited to:

    •  Business acumen
    •  Visionary
    •  Soft skills and emotional intelligence
    •  Technically minded
    •  Customer empathic
    •  Open minded
    •  Communicative
    •  Decisive
    •  Respectful and firm
    •  Highly committed
    •  Strong negotiation skills
    •  Continuous learning
    •  Resilient
    •  Change leadership

    Method of Application

    Use the link(s) below to apply on company website.

     

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