Junior Claims Consultant - Johannesburg, South Africa - Marvel Placement Consultants
Description
Junior Claims Consultant
Minimum Requirements:
- Matric.
- Essential: FAIS qualification.
- Essential:
Regulatory Exams:
RE5.
- Minimum of 5 years of claims experience.
- Experience with relevant Claims Systems (Cardinal 360, CIMS or Flexi)
- Proficient in Microsoft Office and Advanced Excel.
- Knowledge of insurance practices, markets, and competitors.
- Binder experience.
Roles and Responsibilities:
Claims Processing:
- Register all claims promptly within 2 hours and refer to insurers as needed.
- Adhere strictly to mandated procedures.
- Quickly appoint assessors or loss adjusters when necessary.
- Capture payments and process credits on the same day.
- Address recoveries within 7 days and follow up within 30 days.
- Conduct weekly followups on outstanding invoices.
- Finalise claims promptly upon receipt of final correspondence.
- Expedite relevant claims for quick resolution within 48 hours.
- Keep clients updated on claim progress through the diary system.
System Administration:
- Amend estimates promptly upon receipt of new quotes or assessor reports.
- Ensure accurate completion of all relevant fields as per procedure.
- Immediately record or save documents and conversations on the system.
- Log all telephonic conversations with content, dates, and times.
Policy Amendments and Risk Management:
- Notify underwriters promptly upon receipt of claim forms.
- Alert underwriters immediately to claims revealing adverse risk features.
Diary Management and Business Acumen:
- Maintain an uptodate diary daily.
- Stay in contact with service providers to remain informed of any changes.
- Stay abreast of relevant legislation affecting business processing.
Client Focus and Accountability:
- Respond professionally and accurately to client queries within 1 day.
- Ensure compliance with system procedures and information recording.
- Deliver on promises made.
- Provide personal and proactive client service, answering the telephone promptly.
Financial Discipline and Office Efficiency:
- Accurately report monthly data in a timely manner.
- Maintain office equipment and minimize costs.
- Adhere to open plan office protocols and keep workspace organised.
Compliance and Record Maintenance:
- Ensure compliance with FICA and FAIS requirements.
- Maintain concise and courteous written communication.
Service Providers and Effective Communication:
- Cultivate professional relationships with service providers to meet client expectations.
Closing Date:
Submissions for this vacancy will close on 22 May 2024, however, you will still have the opportunity to submit your CV for this position till 14 June 2024.
Please Note:
PoPI Act:
Please note that Marvel Placement Consultants adhere to the POPI Act (Act No.
4 of 2013:
Protection of Personal Information Act, Section 9 of PoPI states that "Personal Information may only be processed if, given the purpose for which it is processed, it is adequate, relevant and not excessive".
- For more information please contact:
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