Job PurposeObtain information from insured or designated persons for the purpose of validating claims using all resources available.
ResponsibilitiesCustomer 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.
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.
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.
Up-sell Customer Propositions
Identify a selection of products or services that may meet the customer’s requirements, explain the product/service features influence the customer to add additional
Education Matric / Grade 12 or SAQA Accredited Equivalent (Essential) Regulatory Exam 5 (Advantageous); FAIS credits, CPD hours and COB (Advantageous)
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