Claims Controller

Recruiter:

Heitha Staffing Group

Job Ref:

HSG2020

Date posted:

Monday, September 20, 2021

Location:

Johannesburg, South Africa

Salary:

Monthly salary

SUMMARY:
06 Months fixed-term contract. Preferably Employment Equity candidates

POSITION INFO:

Job Purpose:

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.

The Requirement:

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

Key Performance Areas

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

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

Perform ad hoc tasks

Perform any reasonable tasks as and when required by the Line Manager

NB! This job is now closed. You can apply for other jobs by uploading your CV.

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