Claims Assessor/ Insurance Loss Adjuster

SUMMARY:
Our client is looking to employ a Claims Consultant in the Johannesburg and Cape Town Area

POSITION INFO:

To provide specialist advise and support in the generation and provision of reliable claims assessment activities, to support key deliverables and informed decision making, through the execution of predefined objectives as per agreed SOPs in Johannesburg and Cape Town .

Requirements: 

• Matric 
• 3- 5 years experience as a Claims Assessor or Insurance Loss Adjustor or similar role 
• Fais accredited  

Process                

• Accountable for the execution of specialised work including the improvement of quality, standards and outputs within defined work routines and operating procedures.
• Plan for own task execution and advises on improvements related to area of specialisation.
• Proactively solves problems, determines root-cause and applies solutions in line with guidelines and providing the necessary information to solve problems related to area of specialisation.
• To identify best practices in providing advice and support from a specialist perspective.
• Independently, fairly and effectively assess and manage risk claims within relevant authority limits.
• Process special claims as and when they occur and provide support to resolve relevant concerns related to claims.

Customer                           

• Ensure own understanding and adherence to customer service delivery and Treating the Customer Fairly (TCF) principles to provide specialist support and guidance.
• Ensure that workflow items, escalations and queries are resolved within SLA.
• Provide advice and support in area of accountability to ensure that identified solutions and recommendations are appropriate and effective.
• Provide support to ensure the effective resolution of customer queries in order to promote customer satisfaction and retention.

Finance                

• Adhere to specified standards, policies and procedures to prevent potential losses/wastage related to the area of specialisation.
• Learning and Growth                     
• Contribute positively to own area-specific knowledge improvement associated with area of specialisation.

Governance                       

• Comply to set governance and compliance procedures and processes related to an area of work and continuously identify, rectify and escalate risks where necessary.

Behavioural Competencies

Customer Orientation                    

• The ability to interact with customers in an effective and efficient manner
• Competency Definition: Puts customers first and is eager to please them in line with company standards. Develops and sustains productive customer relationships.
• Behavioural Indicators: Puts customers first and is eager to please them in line with company standards.  Responds quickly when servicing customers. Shows courtesy, sensitivity, humanity and empathy and appreciates diversity in customers. Uses customer feedback to improve service.

Communicating with Impact                       

• Readily maintains open and consistent communication with other
• Competency Definition: Must be able to exchange information and ideas in a clear and concise manner appropriate for the audience, in order to explain, persuade, convince and influence other to achieve the desired outcomes.
• Behavioural Indicators: Knows the importance of being clear and direct in all forms of communication. Knows how to listen actively. Knows that there are different types of message and mediums (e.g. email, face to face) to communicate in. Knows the importance of tailoring the conversation to the audience. Knows why it is important to take other's perspectives into account when communicating.

Customer service orientation                     

• Responds appropriately to customer requests
• Competency Definition: Commits to achieving and maintaining high quality results and provides a prompt, suitable and personalised service to customers that meets their needs.
• Behavioural Indicators: Responds appropriately to customers requests. Takes personal responsibility for following through and providing accurate answers to customers expressed needs (eg inquiries, requests, and complaints) within the organisation's policies and procedures.

Teamwork and Cooperation                        

• The ability to participate as a team member
• Competency Definition: Cooperates with others to accomplish common goals; works wi