Motor Claims Specialist - Johannesburg, South Africa - CIB PTY (LTD)
Description
Main purpose of the role:
The main purpose of the Claims Specialist's role is to validate and administer a client's motor claim following a fortuitous event.
In accordance with Standard Operating Procedures, claims guidelines, the specialist own mandate, and the client's policy schedule, the specialist will make a claims settlement determination.
Service delivery is our main distinguishing factor from our competitors and individual performance is mainly measured on the quality and turn-around times of service delivery.
Minimum experience and qualifications
- Matric (Grade 12) essential
- FETC in Short-Term Insurance or higher certicificate in Short-Term Insurance
- Successfully passed RE 5 (Representative Exam)
- Applicable class of business certification (Personal & Commercial classes of business)
- Must be compliant with FAIS Fit & Proper requirements with track required of working unsupervised
- Experience required in HCV (heavy commercial vehicles), Fleets, and AGRI claims
- At least 5 years relevant work experience in Personal, Commercial and AGRI claims settlement
- Work experience within a licensed insurer highly advantageous
- Experienced in making cliams settlement determinations with mandate exceeding R50 000
- Effective Communication skills required: Must demonstrate high quality oral and written communication.
- Effective Time Management skills required
- Must have a high tolerance for stress
- Must be solutions oriented with a high regard for customer service
Key performance areas:
- Validation of claims
- Appointment of service providers
- Authorisation/ Settlement of claims
- Rejection of claims
- Complaints resolution
- Processing of payments within turnaround times
- Liaising with brokers, internal staff, service providers and clients.
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