Job Ref #: C0090502
Industry: Academic
Job Type: Permanent
Positions Available: 14
TIH is the holding company of some of South Africa’s leading financial service providers. Our portfolio includes short-term insurers, a long-term insurer, health insurance as well as an insurance and personal finance comparison platform. We’re pioneers with a hunger for best, bringing customer-focused innovation and service excellence to the financial services industry.
Job Description
JOB PURPOSE
Process 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.
RESPONSIBILITIES
- Customer Management (Internal)
- Help manage customer by carrying out standard activities to complete the customer request.
- Data Collection & Analysis
- Ask questions, collect data from a variety of sources, analyse information and investigate claim.
- Make decisions according to established criteria to ensure standardization 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 compliance
- Organise own work schedule in order to get the job done, coordinating with support services and completed work within SLA
TASKS
- Prepare 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.
- Organise 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 claims or referrals to auto repair facilities or local contractors.
- Finalise claims and communicate the outcome to the customer
- Listen and transcribe client conversations
- Request Client Conversation
- Retrieve Client Conversation
- Issue repair / replace vouchers
- Load and action 15 minute messages
- Complete Things To Do (TTD’s) and requests
- Refer to Loss Adjuster when required
- Arrange to collect salvage – Non-Motor where applicable
- Arrange to collect salvage – Motor where applicable
Job Requirements
General Education
Matric / Grade 12/ SAQA Accredited Equivalent (Essential)
General Experience
1 or more years’ Financial Services industry experience (Essential); Call Centre
Experience (Essential); STI experience (Advantageous); 1 or more years’ Claims
Experience (Advantageous); At least 2-3 years’ experience in a Customer Service environment (Advantageous)
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