Job DescriptionPurpose of the position: Processing, validation, negotiation and payment of individual broker specific portfolios of both motor and non-motor claims for both Personal Lines and Commercial classes of business. Working closely with an allocated portfolio of brokers, the Portfolio Claims Specialist will train and coach binder and outsource brokers to make claims validation determinations in line with the companies Standard Operating Procedures within a defined mandate. The Claims specialist will furthermore action all claims that exceed the Brokers’ mandate. The Portfolio Claims Specialist may furthermore assist with complex and high value claim determinations (for both Motor & Non-Motor, within both Personal Lines and Commercial classes of business) The Claims Specialist will process, validate and negotiate all liability claims in line with the Liability SOP and Guidelines as well as work closely with the Portfolio Claims Manager on all litigation matters. Minimum Requirements Matric FETC (Futher Education and Training Certificate) in Short-Term Insurance - NQF 4 Higher Certificate in Short-Term Insurance (NQF 5) -
Responsibilities + Skills
Effective numerical skills and ability to think analytically with good attention to detail; High levels of customer service orientation; Focused thinking with good ability to work through ''noise''
Advantageous Successfully passed RE 5 (Representative Exam) Must meet FAIS Fit & Proper requirements At least 5 years relevant work experience in claims validation and settlement (both in Motor & Non-Motor claims, as well as in both Personal Lines and Commercial Lines classes of business),