Claims Negotiator - Isando, South Africa - Ellahi Consulting

Ellahi Consulting
Ellahi Consulting
Verified Company
Isando, South Africa

2 weeks ago

Thabo Mthembu

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Thabo Mthembu

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Description

South Africa's leading Car Rental Group is seeking a well-seasoned Claims negotiator MVA

Core purpose of the role:

To settle third party claims/recover from third parties so as to limit expenses and contribute positively to the profitability of the organisation.


Location:
Isando, Johannesburg


Salary:
R26 000 Gross


Duration:
Fixed Term Contract (36 months)


Requirements:


Academic Qualifications

  • Matric
  • Valid Driver's license

Work Experience

  • 23 years related experience

Knowledge

  • Insurance industry knowledge
  • Working knowledge of settlements
  • Knowledge of vehicle parts
  • Basic legal knowledge including Motor law (advantage)

Skills

  • Computer, technology and systems skills (basic MS Office)
  • Welldeveloped communication skills to negotiate with third parties
  • Developed internal resilience (EQ) and interpersonal skills
  • Developed written comprehension and reasoning skills
  • Developed numerical checking and reasoning skills
  • Broad solutioning and problem solving skills
  • Spatial reasoning skills

Personal Attributes

  • Attentive to detail
  • Preference for planning and organising
  • Focus on getting things done
  • Concern for working within parameters
  • Concern for communicating clearly
  • Focus on convincing and persuading
  • Remain resilient with stress and pressure
  • Focus on analyzing and solving problems

Important:


  • Preference for thinking practically
  • Focus on initiating action
  • Appreciation for challenging others with respect
  • Preference for team working

Competencies

  • Examining information
  • Convincing people
  • Showing composure
  • Meeting timescales
  • Checking things
  • Following procedures
  • Managing tasks

Important:


  • Documenting facts
  • Interpreting data
  • Adopting practical approaches
  • Challenging ideas
  • Team working

Key deliverables and outputs
Strategic/Financial


Payment Process

  • Request payment from finance department and receive proof of payment within 15 working days.
  • Payments received from third parties must be reconciled with the cash book and an allocation request sent to Finance daily (recoveries)
  • Ensure that all liability refunds due to customers are requested on a daily basis.
Operational


Diary planning

  • Accept new claims from Claims Administrators at beginning of every day.
  • Attend to all files on daily diary and ensure that all overdue files are attended to.
  • View and action files daily.
  • Update files with progress comments daily on Natural

File preparation

  • Determine if all documentation is accounted for, if not requested from Administrator
  • Send requisition letter to the third party/draft and send a letter of demand to third party.
  • Appoint assessor based on merits of the thirdparty case (quantum >R10 000)
  • Update liability codes as per current status of the case
  • Assess file for possible breach and prepare same, then forward to National Damage Admin Supervisor

Settlement

  • Assess merits of the case, determine degree of liability and settlement calculations/quantum calculations.
  • Prepare settlement proposal.
  • Refer all settlement offers received for approval to Claims Manager

Negotiation

  • Draft settlement offer and send to third party
  • If settlement is accepted by third party, request payment upon signed release.
  • If settlement is rejected, negotiate terms and conditions with customer.
  • Draft letter of demand based on quantum calculation and negotiate settlement with third party based on merit assessment.

Litigation

  • Prepare a litigation file and refer the file to Manager for approval (recoveries)
  • Receive and hand over summons to Manager.
  • Acknowledge receipt of summons to Attorney
  • Determine if all documentation is accounted for in file if none requested from Attorney.
  • Obtain authorisation for revised settlement from Claims Manager & Supervisor
  • Send revised settlement advise to 3rd party Attorney.
  • Receive signed revised settlement advise from third party and request payment upon receipt.
  • If rejected, review the cost effectiveness of appointing an Attorney.
  • If cost effective, obtain authorisation from Claims Manager & Supervisor to appoint Attorney.
  • Hand over file to Attorney
  • Follow up on case progress with Attorney monthly

Reports

  • Compile report/s monthly and submit on last working day of the month (Range: new and closed files, adjustments, settled cases, cabinet listings)
Stakeholders (internal & external customers, suppliers, shareholders, communities)

  • All correspondence is acknowledged.
  • All queries and complaints are actioned.
  • Attend all team huddles and meetings as scheduled

Internal and External Stakeholders

  • The role requires close engagement and collaboration with key internal and external stakeholders

Internal Stakeholders

  • Finance Team

External Stakeholders

  • Attorneys, Third Parties

Job Types:
Full-time, Temp to perm

Contract length: 36 months


Salary:
Up to R26,000.00 per month
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