Personal Claims Consultant

Personal Claims Consultant- job post
Nedbank
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Job Classification
Life Claims
Job Purpose
Accurate assessment, investigation and processing of long term insurance claims.
These claims will include death, disability and critical illness claims.
Processing claims and assessing payment of benefits in accordance with the policy terms and conditions
Job Responsibilities
with team Develop effective relationships with stakeholders

Meet client needs by ensuring claims are processed according to service level agreement and insurance policy
Monitor customer delivery and escalate exceptions to management.
Ensure Service Level Agreements are met and exceeded.
Identify risks to the company and escalate accordingly.
Monitor claims received to ensure that duplication does not occur resulting in financial loss to the company.
Comply with Service Level Agreement or Claims Protocol by administering and facilitating the claims process.
Reduce risk to Nedbank Group by monitoring; identifying and reporting trends in claims
Drive and support effective teamwork within the department.
Engage in appropriate training interventions to promote own professional development.
Ensure to demonstrate the company's values on a daily basis.
Adhere to organisational best practice and legislative requirements.
Ensure effective claims management service delivery and support.
Perform an efficient and accurate administrative function.
Identify and recommend opportunities to enhance processes; systems and policies and support implementation of new processes; policies and systems.
Initiate and process claims to finalisation by ensuring compliance to insurance policy.
Comply with Service Level Agreements by adhering to self-imposed standards and timeframes.
Minimise risk by complying with all Nedbank policies and procedures.
Keep abreast of legislation and other industry changes that impacts on role by reading the relevant newsletters; websites and attending sessions.
Understand and embrace the Nedbank vision and demonstrate the values through interaction with team and stakeholders.
Improve personal capability and stay abreast of developments in field of expertise by identifying training courses and career progression for self through input and feedback from managers
Ensure personal growth and enable effectiveness in performance of roles and responsibilities by ensuring all learning activities are completed; experience practiced and certifications obtained and/or maintained within specified time frames.
Ensure information is provided correctly to stakeholders by maintaining and sharing knowledge
Minimum Experience Level
3 – 5 years’ experience in a Claims environment
Knowledge of Life Insurance advantageous
Knowledge of insurance and industry legislation advantageous
Essential Qualifications - NQF Level
Matric / Grade 12 / National Senior Certificate
Preferred Qualification
OT qualification (or similar)
Life Insurance qualification
Type of Exposure
Working with a group to identify alternative solutions to a problem
Completing various administrative duties (e.g.; answering phones; making copies; filing)
Managing conflict situations
Comparing two or more sets of information
Tracking cost against a budget
Capturing data
Checking accuracy of reports and records
Drafting reports
Building and maintaining effective relationships with internal and external stakeholders
Technical / Professional Knowledge
Administrative procedures and systems
Banking procedures
Business principles
Business terms and definitions
Data analysis
Governance, Risk and Controls
Relevant regulatory knowledge
Relevant software and systems knowledge
Business writing skills
Cluster Specific Operational Knowledge
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Please contact the Nedbank Recruiting Team at +27 860 555 566

Job ID : , #2232, 2 views,

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