Specialist Liability Claims Consultant

Telesure Investment Holdings

Gauteng, South Africa


Jul 8

Telesure Investment Holdings (Pty) Ltd (TIH), is the holding company of some of South Africas leading financial service providers. Our portfolio includes shortterm insurers, a long-term insurer, health insurance as well as an insurance and personal finance comparison platform. Our origins date back to 1 June 1985, and we have since grown into a group of subsidiaries that includes some of South Africas most loved and recognisable brands. We exist to continuously findbetter ways to give people peace of mind, whether it is to protect what they own,their loved ones or their greater ambitions and life plans. We bring customerfocused innovation and service excellence to the financial services industry. Were an undivided team who believe in leading through technology and pushing past their limits. TIH is owned by BHL (SA) Holdings Limited. BHL has a vast global footprint. The Specialist Liability Claims Consultant is required to administer third partyclaims against clients, and thoroughly investigate quantum and merits.Data Collection & AnalysisCollate and analyze data using pre-set tools, methods and formats to investigate claims. Involves working independently. Ensure all data is captured and assessed fully and accurately.AdministrationProduce, update and provide best practice support to customers on the claims administration process and other departmental systems, in line with claims policy, rules and SOP's. Ensure cost saving for business through effective settlement of third party claim.Customer ServiceCarry out a range of customer service activities, including handling customer cases and enquiries that are more complex or outside the norm. Ensure regular feedback is given to clients and third parties.Work SchedulingOrganize own work schedule in order to get the job done, coordinating with support services and completed work within SOP.CorrespondencePrepare tailored correspondence to third party claimants and stakeholders. Maintain and improve client relationships. Build effective working relationships with third parties (incl. insurance companies) and Attorneys. Build and maintaineffective working relationships within TIH (Claims, Assessing, Policy Services and Legal Department).Document ManagementCreate, organize and maintain files containing the correspondence relating to policies and matters.Document PreparationPrepare and manage claim documentation for customers.Personal Capability BuildingDevelop and maintain excellent process or technical skills by participating in assessment and development planning activities as well as formal and informal training and coaching. Ensure up-to-date knowledge of company products, systems and procedures.Operational ComplianceDevelop knowledge and understanding of the organization's policies andprocedures and of relevant regulatory codes and codes of conduct to ensure own work adheres to those standards. Obtain authorization from a supervisor or manager for any exceptions from mandatory procedure. Ensure fast, efficientand fair settlement procedures are followed. Assure all work meets technical / operations standards for quality

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Telesure Investment Holdings

Telesure Investment Holdings (Pty) Ltd (TIH), is the holding company of some of South Africa’s leading financial service providers.