Claims Specialist

Claims Specialist- job post
Bryte Insurance Company Limited

Permanent
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Company
Bryte Insurance Company Limited

Reference #
CS

Published
25/03/2022

Contract Type
Permanent

Salary
Market Related

Location
Durban, KwaZulu-Natal, South Africa


Introduction
Who We Are

Bryte Specialist Motor (Pty) Ltd (BSM) is a heavy commercial vehicle (HCV) risk specialist in the Southern Africa Heavy Commercial Short-Term Insurance sector. Applying our unparalleled sector insights, proven expertise and foresight, we partner with customers and brokers to protect their businesses and improve their risk profile across the continent. BSM approaches customer risk with purpose, proactively working with brokers and customers to enable better risk decisions.

Claims Specialist

The aim of this role is:

The purpose of the function is to attend to the adjustment and management of claims with the aim of minimising the losses due to the company and approving only those claims that we are truly liable.



Job Functions
Client Services


Industries
Insurance


Specification
Key Tasks & Accountabilities

Effective processing of claims

Prioritise daily activities to enable processing and maintenance of all claims
Within Mandate
Check the accuracy of registered claims cover details and add claimant details timeously
Confirm estimate is accurate, deducting excess to work out estimate of claim through investigating policy cover
Complete fraud list and Identify claims that requires further fraud verification
Ensure computer generated letter is forwarded to relevant broker
Liaise with stakeholders to gather and ensure accuracy of information
If required, inform other relevant departments within claims (e.g. recoveries, salvages, claims verification units etc)
Capture diary entry immediately after registration process, describing progress and action of claim
Deal with and ensure resolution of queries on an on-going basis
Obtain necessary documents/assessors report and make amendments to estimates ensuring authorization within policy cover
Continually update and maintain diary system
Draw payment on relevant system, ensuring accuracy of banking details, invoice number, VAT numbers, class allocation, client release, etc
Ensure letters are forwarded to brokers demonstrating breakdown of payments
Ensure accurate codes are allocated to payment of claims to minimize leakage
Finalize payments on Workflow (Within Mandates)
Review all open files on a quarterly basis by assessing check reports and claims not processed report (Estimate Review)
If encounter system problems, log calls timeously with relevant department

Effective customer focus and service

Liaise with internal stakeholders to facilitate problem resolution and efficiency of work activities
Communicate with stakeholders on a daily basis to inform of progress of claims and claim policy and procedure
Deal with and resolve any queries relevant to area; if unable to resolve, escalate to manager for resolution
Represent the organization through maintaining high levels of professionalism, service excellence and customer excellence
Adhere to internal policies, processes and procedures

Effective adherence to company claims policy, standards and SLA

Ensure adherence to all company policies at all times
Ensure adherence to negotiated flexi hours
Maintain dress code, behaviour and absenteeism

Internal Relationship:

All Claims Departments, Sales and Underwriting.

External Relationship:

Brokers (Telephonically and Directly), Clients, All Claims Suppliers and Service Providers




Requirements
Qualifications & Experience

Minimum Degree or NQF Level 4
Minimum 5 years claims handling/ adjustment experience

Experience:

Proven experience in handling of large loss claims, especially cases valued over R1,000,000.00 in Property/ Business Interruption claims.
Relevant experience of managing service providers, negotiation, and face to face meetings with stake holders.
Sound knowledge, experience and understanding of short-term insurance
General Claims Handling skills
Understanding of Bryte guiding principles and philosophy and framework
Applications of claims technical guidelines
Basic insight into company strategies and business plans
Clear understanding of Financial Services compliance framework
Sound knowledge of Bryte organizational structure
In-depth knowledge and understanding of relevant company policies, processes and procedures
Sound internal network
Knowledge of relevant workflow systems

Other Requirements

Accuracy
Attention to detail
Customer service orientation (including assertiveness)
Oral and written communication
Planning and organizing
Problem solving
Self-awareness
Teamwork
Work standards
Guiding Principals

Technical Skills

Computer and system skills
Administrative skills
Telephone skills
Communication skills
Negotiation

Bryte Insurance has adopted the mandatory vaccination policy, requiring its workforce to be fully vaccinated with effect from 01 January 2022. All prospective employees are required to disclose their vaccination certificates or cards as part of the recruitment process.

Job Closing Date
01/04/2022

Job ID : , #2157, 7 views,

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