Telesure Investment Holdings
Posted : 2024/May/24
Closing : not given
Location : JHB North
Job Ref #: C0000000
Industry: Insurance
Job Type: Permanent
Positions Available: 10
TIH is the holding company of some of South Africa’s leading financial service providers. Our portfolio includes short-term insurers, a long-term insurer, health insurance as well as an insurance and personal finance comparison platform. We’re pioneers with a hunger for best, bringing customer-focused innovation and service excellence to the financial services industry.
Job Description
JOB PURPOSE
Process already-captured claims efficiently and accurately through drawing on the relevant criteria to ensure standardisation across the organisation to enable decision making on a claim.
RESPONSIBILITIES
Customer 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.
Make decisions according to established criteria to ensure standardisation across the organisation by accurately administrating and underwriting claims.
Use appropriate tools to accurately cost applicable claims on a day-to-day basis.
Work Scheduling and operational compliance
Organise own work schedule to get the job done, coordinating with support services and completed work within SLA.
Ensure claims are finalised within the set parameters (turnaround time, terms and conditions applied accurately).
Remain up to date with current and new product knowledge to enable effective decision making.
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.
Prepare insurance claim forms or related documents and review them for completeness.
Enter claims information into database systems.
Pay small claims.
Calculate quantum amount of claim.
Post or attach information to claim file.
Transmit claims for further investigation.
Contact insured or other involved persons to obtain missing information.
Review insurance policy to determine coverage.
Organise or work with detailed office records, using computers to enter, access, search or retrieve data.
Provide customer service, such as limited instructions on proceeding with claims or referrals to auto repair facilities or local contractors.
Finalise claims and communicate the outcome to the customer
Listen and transcribe client conversations
Request Client Conversation
Retrieve Client Conversation
Issue repair / replace vouchers
Load and action 15-minute messages
Complete Things to Do (TTD’s) and requests
Refer to Loss Adjuster when required
Arrange to collect salvage – non-Motor where applicable
Arrange to collect salvage – Motor where applicable
TECHNICAL COMPETENCIES
Customer Focus
Builds strong customer relationships and delivers customer-centric solutions.
Decision Quality
Makes good and timely decisions that keep the organization moving forward.
Manages Complexity
Makes sense of complex, high quantity, and sometimes contradictory information to effectively solve problems
Drives Results
Consistently achieves results, even under tough circumstances.
Being Resilient
Rebounds from setbacks and adversity when facing difficult situations.
Manages Conflict
Handles conflict situations effectively, with a minimum of noise.
Communicates Effectively
Develops and delivers multi-mode communications that convey a clear understanding of the unique needs of different audiences.
Ensures Accountability
Holds self and others accountable to meet commitments.
Plans and Aligns
Plans and prioritizes work to meet commitments aligned with organizational goals.
Job Requirements
General Education
Matric / Grade 12/ SAQA Accredited Equivalent (Essential)
General Experience
1 or more years’ Financial Services industry experience (Essential)
Call Centre Experience (Essential)
STI experience (Advantageous)
1 or more years’ Claims Experience (Essential)
Apply online at
https://jobs.mcidirecthire.com/AvailableVacancies/Vacancy?CompanyPublishingId=51884
