SOUTH AFRICAN SPECIAL : RISK INSURANCE

Position Title: Claims Controller

JOB SUMMARY STATEMENT/PURPOSE:

The Claims Controller will collate records and examine information to assist in determining claim settlements, within the governed framework to ensure compliance with the short-term insurance regulations or determine the validity of the claims from agent companies, assess the liability and negotiate settlements.

CURRENT STATUS: Active

CONTRACT TYPE: Fixed-Term Contract

CLOSING DATE: August 10, 2021

Qualifying Criteria

Key Performance Areas
(Duties & Responsibilities):

  1. Claims processes
    • Accurately record and examine received claims and any related documentation thereof
    • Perform document diary maintenance on IMS system
    • Capture claims received by the department on register for reserve and keep a regular follow-up outstanding reserve once claims are verified by Claims Manager
    • Approve claims within delegated authority after verification of all documents and validation thereof under the policy cover
    • Escalate complex claims to Supervisor
    • Assist in the extrapolation of monthly reports on claims
  2. Agency/ Broker Liaison
    • Inform reinsurance brokers and underwriting department of omitted documents as well as adjustors such as losses/ gains on premium
    • Exercises proper judgment and decision making to analyze the claims exposure, to determine the proper course of action and to appropriately settle the claim
    • Negotiate the settlement and disposition of complex claims; interpret related claims documentation
  3. Perform ad hoc tasks
    • Perform any reasonable tasks as and when required by the Line Manager

Qualifications:

Higher Certificate in Insurance/ Certificate of Proficiency in Insurance

Experience:

2 – 3 years’ experience in a Claims position of short-term Insurance company
Strong Non-motor experience preferable

Knowledge:

Sound knowledge of claims procedures.
Basic understanding of claims analysis and settlement
Understanding relevant legislation
Understanding Sasria regulations, policies and procedures

Technical Skills:

Good planning and organising skills
Excellent interpersonal and communication skills
MS Office
Good time management skills
Claims Procedures (IMS)
Business Written Communication Skills (emails, letters, memos, reports)
Negotiation

Attributes and Values:
Administration
Analytical thinking
Business writing
Claims management
Customer service
Communication
Interpersonal skills
Liability analysis

Demographics:

A South African citizen of any gender, preference will be given to an EE candidate
Location of the role:
The role will be in Illovo, Johannesburg

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