Claims Consultant-A&G Australia( Nighshift position) FUTURE PIPELINE FOR 2022
Telesure Investment Holdings (Pty) Ltd (TIH), is the holding company of some of South Africas leading financial service providers. Our portfolio includes short term insurers, a long-term insurer, health insurance as well as an insurance andpersonal 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 find better 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 bringcustomer-focused 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. JOB PURPOSEProcess already-captured claims efficiently and accurately through drawing on the relevant criteria to ensure standardisation across the organisation to enable decision making on a claim.RESPONSIBILITIESCustomer Management (Internal) Help manage customer by carrying out standard activities to complete the customer request.Data Collection & AnalysisAsk questions, collect data from a variety of sources, analyse information and investigate claim.Make decisions according to established criteria to ensure standardisation across the organisation by accurately administrating and underwriting claims.Use appropriate tools to accurately cost applicable claims on a day to day basis.Work Scheduling and operational complianceOrganize own work schedule in order to get the job done, coordinating with support services and completed work within SLA.Ensure claims are finalised within the set parameters (turnaround time, terms and conditions applied accurately).Remain up to date with current and new product knowledge to enable effective decision making.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 SLAs.CorrespondenceRespond to routine requests using telephonic conversation or emails (internal and external).Document ManagementCreate, organize and maintain files containing the correspondence relating to policies and matters.Document PreparationPrepare and manage claim documentation for customers.TASKSPrepare insurance claim forms or related documents and review them for completeness.Enter claims information into database systems.Pay small claims.Calculate quantum amount of claim.Post or attach information to claim file.Transmit claims for further investigation.Contact insured or other involved persons to obtain missing information.Review insurance policy to determine coverage.Organize or work with detailed office records, using computers to enter, access,search or retrieve data.Provide customer service, such as limited instructions on proceeding with claimsor referrals to auto repair facilities or local contractors.Finalise claims and communicate the outcome to the customerListen and transcribe client conversationsRequest Client ConversationRetrieve Client ConversationIssue repair / replace vouchersLoad and action 15 minute messagesComplete Things To Do (TTD's) and requestsRefer to Loss Adjuster when requiredArrange to collect salvage - Non-Motor where applicableArrange to collect salvage - Motor where applicable
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Telesure Investment Holdings (Pty) Ltd (TIH), is the holding company of some of South Africa’s leading financial service providers.