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| Closing Date | 2023/05/03 |
| Reference Number | SAS230418-1 |
| Job Title | Claims Controller |
| Job Type | Permanent |
| Division | Insurance Operations |
| Department | Claims |
| EE Occupational Levels | Level 2 & 3: Semi-skilled |
| Location – Town / City | Johannesburg |
| Location – Province | Gauteng |
| Location – Country | South Africa |
| Job Advert Summary | To 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 to determine the validity of the claims from agent companies, assess the liability and negotiate settlements. |
| Minimum Requirements | Qualifications:• Higher Certificate in Insurance NQF5 (preferable) • Tertiary education (preferable)Experience:• 3 – 5 years experience in a Claims position of Short term Insurance company |
| Duties and Responsibilities | Claims Processes:• Accurately record and examine received claims and any related documentation thereof. • Perform document diary maintenance on CMS system. • Assess claims received by the department 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 underwriting department of gaps in cover and/or wording 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 claims within prescribed mandate; interpret related claims documentation.Perform ad hoc tasks• Perform any reasonable tasks as and when required by the Line Manager. |
All the best with your applications
Im interested coz i have been doing sale marketing for 8 months
Good day
I am highly interested in this position as I have experience in sales and customer services
Kindly contact me on the details below
Snegugu shezi
064 9180 785
Snegugushezi95@gmail.com
Good day, I’m very interested. I have experience in Short terms insurance claims for 4 years and underwriting and claims for 16 years in commercial and domestic sections. I would however need a remote position.