Job Purpose
- Process already-captured claims efficiently and accurately through drawing on the relevant criteria to ensure standardisation across the organisation to enable decision making on a claim.
Responsibilities
Customer Management (Internal)
- Help manage customer by carrying out standard activities to complete the customer request.
Data Collection & Analysis
- Ask questions, collect data from a variety of sources, analyse information and investigate claim.
- Make decisions according to established criteria to ensure standardisation across the organisation by accurately administrating and underwriting claims.
- Use appropriate tools to accurately cost applicable claims on a day-to-day basis.
Work Scheduling and operational compliance
- Organise own work schedule in order to get the job done, coordinating with support services and completed work within SLA.
- Ensure claims are finalised within the set parameters (turnaround time, terms and conditions applied accurately).
- Remain up to date with current and new product knowledge to enable effective decision making.
Administration
- Produce, update and provide best practice support to customers on the claims administration process and other departmental systems, in line with claims policy, rules and SLAs.
Correspondence
- Respond to routine requests using telephonic conversation or emails (internal and external).
Document Management
- Create, organise and maintain files containing the correspondence relating to policies and matters.
Document Preparation
- Prepare and manage claim documentation for customers.
TASKS
- Prepare insurance claim forms or related documents and review them for completeness.
- Enter claims information into database systems.
- Pay small claims.
- Calculate quantum amount of claim.
- Post or attach information to claim file.
- Transmit claims for further investigation.
- Contact insured or other involved persons to obtain missing information.
- Review insurance policy to determine coverage.
- Organise or work with detailed office records, using computers to enter, access, search or retrieve data.
- Provide customer service, such as limited instructions on proceeding with claims or referrals to auto repair facilities or local contractors.
- Finalise claims and communicate the outcome to the customer
- Listen and transcribe client conversations
- Request Client Conversation
- Retrieve Client Conversation
- Issue repair / replace vouchers
- Load and action 15-minute messages
- Complete Things to Do (TTD's) and requests
- Refer to Loss Adjuster when required
- Arrange to collect salvage - Non-Motor where applicable
- Arrange to collect salvage - Motor where applicable
Education
- Grade 12 / SAQA Accredited Equivalent (Essential)
Experience
- 1 or more years Financial Services industry experience (Essential); Call Centre Experience (Essential); STI experience (Advantageous); 1 or more years Claims Experience (Advantageous); At least 2-3 years’ experience in a Customer Service environment (Advantageous).
Deadline:9th October,2026