Claims and Customer Care Consultant - Cape Town, South Africa - O'Brien Recruitment

O'Brien Recruitment

Verified Company

Cape Town, South Africa

1 week ago

Posted by:

Thabo Mthembu

beBee Recruiter

Job Roles and Responsibilities:

Manage the end to end claims process from lodgment to settlement.
Day to day management of claim lodgments, customer inquiries and validating reported insurance claims.
Answer incoming calls and provide customers with empathy, certainty, guidance and support from lodgment to final resolution of claim situations and inquiries.
Provide accurate advice to customers and clear instructions of the next steps of what we will do and what we need the customer to do.
Identify potential fraudulent claims and follow agreed policies and procedures.
Effective communication with internal and external customers.
Ensure that customers and suppliers/service providers, including assessors and repairers, are contacted in a prompt, courteous and knowledgeable manner.
Resolve complaints and disputes from clients, suppliers or service providers within agreed service levels.
Authorise claim payments within the approved delegated authority of the position.
Ensure that claims are processed in accordance with policy guidelines, company procedures, approved suppliers and industry laws and guidelines.
Effective and accurate notes on electronic claim files.
Ensure claims decisions are technically sound and communicated appropriately to all customers and stakeholders.
Manage individual productivity, to ensure that all work is completed daily including telephone calls, tasks and claims.

Role Skills and Experience: