Digital Claims Adjustor - Parktown, South Africa - Hollard Recruitment

Hollard Recruitment
Hollard Recruitment
Verified Company
Parktown, South Africa

2 weeks ago

Thabo Mthembu

Posted by:

Thabo Mthembu

beBee Recruiter
Description

Job Advert Summary:

An exciting new
Digital Claims Adjustor opportunity has just become available in our
Insure, Operations (Motor Claims Area).
***
Role Objectives
Comprehensive desktop investigations are conducted within a digital environment.

This ensures improved customer service, retention of customers and minimizing any claims leakage through in-depth analysis of the information obtained through out the investigation.


Key Responsibilities
Stakeholder Management

  • Quality of relationships with Internal and external stakeholders and ensure that we build relations and reputation to maintain and create opportunities
  • Customer experience (Complaints and Compliments management)
  • Osti maintaining 0% overturn ratio. Immediately assist and respond all Osti matters by including T/L
  • Complaints received to be handled immediately and feedback provided (Include Team Leader on response)
Claims Management Ensure accurate analysis and reports based on the layered voice system:

  • Manage my performance against the key Claims measures, i.e. no of claims processed, TAT's, Benchmarks, Car Hire Performance etc.
  • Contact made with clients within 24 hours
  • Provide regular feedback to the claims department and client (every 48 hours).
  • Regular notes and updates to be documented on SPM
  • Ensure that all documents are loaded immediately upon receipt on SPM during processing of claim.
  • To ensure receipt of original registration or deregistration documents and vehicle keys, where applicable and handed over to our salvage or SVR division, howsoever directed.
  • Detail discussion of claim outcome after decision has been rendered.
  • High quality of investigation reports: Identification of fraudulent claims and dealing with them effectively (timeously escalating claims that should be dealt with.
  • Ensuring claim finalization within mandate.
  • Ensuring quality report writing and administration process followed by your administrator (resolve any issues that might be affecting your performance)
  • Ensuring that Investigations adds value to business (value chain)
Customer Centricity

  • Embed TCF as a way of doing business
  • Manage investigation to be in line with OSTI and SAIA guidelines to allow for fairness towards clients and still with effective outcomes (TCF)
  • Senior Claims Consultants/ Administrators KPI
  • To uphold the STOPS TCF vision in my daytoday activities and processes:
  • Ensure that Hollard TCF standards are adhered to.
  • Effectively manage customer complaints per the agreed processes.
  • Ensure all complaints are logged on the system as required.
  • Ensure all operational process align with the Hollard TCF standards.

Perform other ad-hoc related duties as required:

  • Ad-Hoc responsibilities could be added in line with business needs or requirements

Required Knowledge and Experience:


  • 5 years Insurance Claims experience, within a motor and nonmotor claims environment
  • Shortterm and Commercial insurance exposure
  • Policy admin experience
  • Investigation experience

Educational Requirements:


  • Matric with excellent English results
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