Junior Claims Consultant

4 weeks ago


Johannesburg, Gauteng, Saudi Arabia Marvel Placement Consultant Full time

Minimum Requirements:

  • Matric.
  • Essential: FAIS qualification.
  • Essential: Regulatory Exams: RE5.
  • Minimum of 5 years of claims experience.
  • Experience with relevant Claims Systems Cardinal 360, CIMS or Flexi
  • Proficient in Microsoft Office and Advanced Excel.
  • Knowledge of insurance practices, markets, and competitors.
  • Binder experience.

Roles and Responsibilities:

Claims Processing:

  • Register all claims promptly within 2 hours and refer to insurers as needed.
  • Adhere strictly to mandated procedures.
  • Quickly appoint assessors or loss adjusters when necessary.
  • Capture payments and process credits on the same day.
  • Address recoveries within 7 days and follow up within 30 days.
  • Conduct weekly follow-ups on outstanding invoices.
  • Finalise claims promptly upon receipt of final correspondence.
  • Expedite relevant claims for quick resolution within 48 hours.
  • Keep clients updated on claim progress through the diary system.

System Administration:

  • Amend estimates promptly upon receipt of new quotes or assessor reports.
  • Ensure accurate completion of all relevant fields as per procedure.
  • Immediately record or save documents and conversations on the system.
  • Log all telephonic conversations with content, dates, and times.

Policy Amendments and Risk Management:

  • Notify underwriters promptly upon receipt of claim forms.
  • Alert underwriters immediately to claims revealing adverse risk features.

Diary Management and Business Acumen:

  • Maintain an up-to-date diary daily.
  • Stay in contact with service providers to remain informed of any changes.
  • Stay abreast of relevant legislation affecting business processing.

Client Focus and Accountability:

  • Respond professionally and accurately to client queries within 1 day.
  • Ensure compliance with system procedures and information recording.
  • Deliver on promises made.
  • Provide personal and proactive client service, answering the telephone promptly.

Financial Discipline and Office Efficiency:

  • Accurately report monthly data in a timely manner.
  • Maintain office equipment and minimize costs.
  • Adhere to open plan office protocols and keep workspace organised.

Compliance and Record Maintenance:

  • Ensure compliance with FICA and FAIS requirements.
  • Maintain concise and courteous written communication.
  • Respond promptly to client emails and bind and scan documentation as needed.

Service Providers and Effective Communication:

  • Cultivate professional relationships with service providers to meet client expectations.


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