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Pretoria

    Commercial Claims Consultant - Pretoria, South Africa - People Dimension

    People Dimension background
    Full time
    Description

    Duties & Responsibilities

    • Handling commercial claims including Heavy Commercial Vehicles claims from registration, right up until settlement
    • Ensuring confirmation of cover has been completed correctly
    • Reporting and handling of commercial motor and non-motor claims
    • Communicate with clients, the responsible party, their insurers, solicitors, and various other parties involved in the claims process, by telephone and/or by written communication
    • Ensure effective and timely claims management and settlement (in line with the SLA agreement)
    • Adequate reserving of claims
    • Assist with administrative functions and undertake special projects as and when requested
    • To maintain the claims filing system effectively and efficiently – ensure all documents are renamed correctly
    • To update client on the progress of the claim telephonically and via email
    • Advise clients on general queries and claims issues
    • Requesting payments correctly within mandate
    • Handling of Compliments and Complaints according to the Compliments and Complaints Business Processes
    • Ad hoc duties assigned by management from time-to-time
    • Productivity:
    • New Claims handled – 60 claims to be worked on per day
    • Open Claims – No claims to be open 90+ days
    • Management of Tasks – All tasks to be attended to within the 4 working hours SLA
    • Closing of Tasks – Detailed notes are always to be left as to why the task is being closed
    • Management of reminders – All reminders to be attended to daily
    • Utilisation and management of notes – Detailed and accurate notes are always to be used
    • Communication (telephone and e-mail) – Ensuring professional communication at all times
    • Telephone calls – to be made and received on recorded lines. If your cell phone does not have the ability to record, you may not use it for work purposes
    • Telephone messages – All messages need to be attended to within 1 working hours.
    • Quality:
    • Detailed and accurate notes are always to be used
    • Accuracy of estimates – Ensuring the reserves held on claims are accurate and updated at all times
    • Accuracy and quality of communication – Ensuring professional communication at all times
    • Telephone etiquette - answering/making the calls correctly – Ensuring professional communication at all times
    • Exceptions – To be attended too daily. Estimates, claims status and notes to be updated continuously to prevent additional exceptions
    • Efficiency:
    • Adherence to SLA (Delivering work within SLA) – All tasks to be attended to within the 4 working hours SLA
    • Comebacks on work not done correctly the first time – Proactively minimising the amount of comebacks
    • General Attitude – to be positive and a team player
    • Operational:
    • Product knowledge – Ensuring all noted processes are followed correctly
    • Costing – Ensuring costing is updated and correct at all times
    • Application of Processes – Ensuring all noted processes are followed correctly
    • Situational Awareness – Ensuring that all possible problems are escalated to the team leader

    Desired Experience & Qualification

    • Clear Credit and Criminal Record
    • Grade 12 certificate or equivalent Level 4 qualification issued by SAQA
    • Relevant FAIS (150 crédits) & FAIS RE5 (compulsory)
    • Short-term claims experience in Personal and Commercial Lines
    • Minimum of 3 years working experience
    • Minimum of 3-5 years in short-term industry
    • Motor and Non-Motor experience
    • Computer Literacy – MS Office: Work, Excel, Outlook – Intermediate Skill level
    • Reliable transport

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